Letters of Medical Necessity Sample Letter of Medical Necessity for a Rifton Feeding Chair
The following letter was instrumental in gaining funding for a Rifton Activity Chair to be used for feeding purposes.We wanted to share this letter with you in case it can inspire and give you guidance on writing a similar letter of medical necessity for your client. (Back to Feeding Equipment for Special Needs Children by Ann Walsh, MS/CF-SLP) Patient Name: Medical Record Number: Date of...
Letters of Medical Necessity Rifton Activity Chair Letter of Medical Necessity
a Rifton Activity Chair
View a sample letter of medical necessity for the Rifton Activity Chair. It is not intended to provide specific guidance on how to apply for funding for any product or service. Health care providers should make the ultimate determination as to when to use a specific product based on clinical appropriateness for a particular patient and applications to any funding source must accurately reflect the facts unique to individual applications. Download PDF (2.2 MB)