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    • Home
    • OUR TEAM
    • Contact Us
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    • TESTIMONIALS
    • LYMPHEDEMA
  • Home
  • OUR TEAM
  • Contact Us
  • Services
  • TESTIMONIALS
  • LYMPHEDEMA

Contact Us

DAPHNE 
251.408.9287
 FOLEY 251.533.4651

FAX US AT:
800-721-2101

Monday - Friday  8AM–5PM


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REFERRAL

LYMPHEDEMA / OCCUPATIONAL THERAPY REFERRAL INSTRUCTIONS

PLEASE FAX THE FOLLOWING TO 800-721-2101


SIGNED REFERRAL FOR TREATMENT

DEMOGRAPHICS SHEET

INSURANCE CARD

LAST PHYSICIAN NOTE

UPDATED MEDICATION LIST


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INSURANCE

We are Medicare providers and take most private insurance. Private pay is an option if no insurance is available and this and all payment arrangements can be made prior to treatment beginning.  We provide insurance verification and copayment information if required free of charge prior to treatment beginning.

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DAPHNE, ALABAMA LOCATION

EDEMA THERAPY COMPANY

790a Daphne Avenue, Daphne, Alabama 36526, United States

251-408-9287

FOLEY, ALABAMA LOCATION

EDEMA THERAPY COMPANY

12456 Sandy Lane, Foley, Alabama 36535, United States

251-533-4651

  • Lymphedema Management
  • Compression
  • Therapy Services
  • Lymphatic Drainage

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