Provided by:
Amjo Corp
PO Box 8304,
West Chester,
Ohio, 45069
Tel: 513-942-2770
Fax: 513-942-2771
The letter below should be written by your doctor on his or her stationery
Please PRINT a copy of this letter as a sample for your Doctor.
TO WHOM IT MAY CONCERN:
I am presently following Jane Doe. She is a patient with
severe psoriasis, primarily of the arms and legs. The patient has had psoriasis for
the past ten years. She required a series of treatments with UVB light
which was successful in clearing her psoriasis. The psoriasis has recurred and she has
restarted her outpatient therapy.
Because of the severity and extent of her skin condition, she will most likely require
ultraviolet light therapy intermittently for the rest of her life. That is why I have
prescribed a National Biological Corporation Panosol II UVB so that she will be
able to maintain a state of remission and get the treatment she needs. The unit is FDA
compliant and is easy and safe to operate under my consultation.
Jane Doe's work as an attorney precludes regular visits
to the psoriasis treatment center because of the hours of operation I feel that it would
be both in Ms. Doe's best interest and cost effective for
your insurance company if she were to be assisted in procuring an ultraviolet light source
for home use.
I would be happy to forward any supporting material or answer any questions you may have.
Sincerely,
John Smith, M.D.
BOLD TEXT SHOULD BE EDITED/CHANGED BY THE WRITER
