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Required insurance documents


Please print or digitally share the documents below with your doctor before or during your appointment.

  • Primary doctor to complete the Prescription (Rx) Form
  • Occupational or Physical Therapist to complete the Letter of Medical Necessity; consult with your Physician if you do not have an OT/PT

If you have questions or need help, don't hesitate to reach out to us at Care@CubbyMedical.com.

Prepare for your appointment

Fill out yourself

Safety needs + concerns worksheet

Bring to your appointment

Prescription form Quick start clinician guide Letter of medical necessity (LMN) guide

Share with your clinician

Draft the LMN with AI

Send all the docs to your clinician

Enter your clinician's email, personalize the subject line, and send. Links above are included.

Email the docs

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