Sample Letters of Medical Necessity for Rifton Products
Click any of the links below to download a sample Letter of Medical Necessity for that product family. (Each sample includes photos of the equipment requested for coverage.)
- Pacer Gait Trainers
- Rifton Trikes
- Dynamic Standers
- Supine Standers
- Rifton Seating System
- Advancement Chairs
- Bathing System
- Toileting System
Tips and a checklist for writing a Letter of Medical Necessity
When you need to approach a reimbursement provider you may find the following materials useful:
- Article by Sarah Rollman explaining the complexities of writing a Letter of Medical Necessity.
- Checklist of the components for a successful Letter of Medical Necessity.
