Documents Needed to Order the AlignMed SpinalQ Brace :
1. Letter of Medical Necessity/Script:
Download form.
Please include height, weight, waist, and chest measurements.
2. Demographics/Face Sheet:
Patient's address, phone #, and date o birth.
3. Insurance Card:
Copy of the front and back of insurance card.
4. Chart Notes from your Doctor:
To back up your prescription.
5. RFA :
Work comp only.
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