Funding Documents

Congratulations on identifying a good candidate for a Lingraphica device! These forms are needed for funding sources such as Medicare and most commercial insurances.

Please note: You must be on a desktop or laptop to download, complete, and sign these forms. You cannot complete these forms on a tablet.

Patient Documents

Contact Your Documentation Specialist

Documentation Specialist

Email: tcampbell@lingraphica.com
Phone • Fax • Text
609-269-2781

Lingraphica Employee Michele Perez

Documentation Specialist

Email: mperez@lingraphica.com
Phone • Fax • Text
609-498-7432

Documentation Specialist

Email: cbrady@lingraphica.com
Phone • Fax • Text
609-269-2015

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