Letters of Medical Necessity Rifton E-Pacer Letter of Medical Necessity
View a sample letter of medical necessity for the Rifton E-Pacer. 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 (1.5 MB)