Plese contact us at 919-744-4648 and we can help you with a Letter of Medical Necessity. Please have the following information available when you call:

INSURANCE INFORMATION, IF APPLICABLE

• Name of Insurance Company
• Insurance Address
• Insurance Phone Number
• Insurance ID Number

PHYSICIAN INFORMATION

• Physician’s Name
• Facility Name
• Facility Address
• Facility Phone Number
• Facility Fax Number
• Facility Email Address

LIST OF DESIRED SUPPLIES