4229 Majorna Drive, West Salem, OH 44287-9691

(419) 945-2980    |    Fax:  (419) 945-2981

Supporting lymphedema patients

 

 

 

 

 

E-Mail: PHYSICIAN MEDICAL

 

  HOME  

PRODUCTS

ORDER

FAQS 

SHIPPING & TERMS

SITE MAP  

 

Certificate of Medical Necessity

 
   

This form must be completed by the physician when ordering a lymphedema pump.

   

CMS846