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Sample Letter of Medical Necessity

Persons using AudreySpirit garments who have a Flexible Spending Account (FSA) or other health savings benefit account (HSA) may be eligible for reimbursement of most of our garments' cost.Blue button "Sample Letter of Medical Necessity" AudreySpirit WearOurCare Clothing

You may also discover programs which help with the cost of these garments, one example is Kansas Special Health Care Needs (SHCN) Program Pays for AudreySpirit Garments. Do let me know about your success or challenges so we can share tips with other families!


Our sample letter of medical necessity will allow your medical provider to customize for your particular need. We've included BONUS resources with it to share with your professional tax preparer for any questions related to your specific circumstances. 

Children, teens, and adults have used AudreySpirit therapeutic garments during treatments for:

  • cystic fibrosis,
  • cancer (chemotherapy, radiation therapy and stem cell transplants),
  • autoimmune diseases,
  • traumatic injuries, 
  • open heart surgery to ease dressing, ease incision care and to comfortably hide all those medical lines used during the cardiac rehabilitation period
  • spinal surgery
  • and many other medical disabilities

Blue Button "Sample Letter of Medical Necessity" for AudreySpirit WearOurCare Clothing


"To whom it may concern,

(Patient) is an (year old) (male / female) admitted to the hospital/receiving home health care/preparing for a hospital admission/surgical procedure........."

BONUS RESOURCES of interest to you/your professional tax preparer are also included with the Sample Letter of Medical Necessity.


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