Letters of Medical Necessity Pacer Letter of Medical Necessity for School
blue standard Rifton Pacer gait trainer with accessories
View a sample letter of medical necessity for the Rifton 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 (576.8 KB)
Letters of Medical Necessity Pacer Letter of Medical Necessity for Homecare
blue standard Rifton Pacer gait trainer with accessories
View a sample letter of medical necessity for the Rifton 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 (629.4 KB)