LETTER OF MEDICAL NECESSITY

Most insurance companies require a letter of medical necessity from your doctor before they will cover the cost of the device as a medical expense.

You can print out the form below, and bring it to your doctor for approval to facilitate this process, then fax it to your insurance provider.

If you choose to order InTone online, the letter of medical necessity can be used as your prescription.  To facilitate processing your online purchase, please fax either your prescription or letter of medical necessity to (262) 373-0463.

Medical Necessity Form

Letter of Medical Necessity