Refer a Patient       Request Educational Material

Lymphedema Resources, Inc. is dedicated to working with doctors and therapists to assist patients at risk for or dealing with Lymphedema. We offer financial assistance for underserved, underinsured patients; educational material, and support group services.

 

Send a friend a link to this page.

 

If you have a patient that you we can assist with information, support or financial assistance, please feel free to refer the patient to us.

Therapist Name*		Patient Name*
Therapist Phone*		Patient Contact Info
Therapist Address*
City, State, Zip*
Therapist E-mail*
How Can We Assist?* (please be as thorough as possible)

 

              *Full contact info is required to provide the info you request.

Lymphedema Resources, Inc. has sources for brochures, pamphlets, and other educational material from reliable sources available free to your practice to display or distribute to patients. We will be happy to supply you with such material, or refer you to additional resources. Simply complete the form below.

Requestor's Name:*
Street Address:*
City, State Zip:*
Phone Number:*
Requestor's E-Mail:*
What kind of information or material can we provide for you?
I'm interested in:*	Info about Lymphedema Resources, Inc.
	Educational health information for at-risk patients
	Educational health information for diagnosed patients
	Financial assistance for underinsured patients
	Support group information

 

               *We require full contact info to clarify how we can best assist you.

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