Patients must meet the following requirements to be eligible:
Yes, patients must be receiving treatment at an NLN affiliated clinic or with an NLN affiliated therapist. Please
contact the NLN office for a list of affiliated clinics and therapists. You can also search for affiliate members by zip
code on our website: http://lymphnet.org/resourceGuide/findTreatment.htm
Patients who are eligible for the MWGF must fill out an application either online or by printing out a form from our
website. Only complete applications will be reviewed. Please be sure to include all the requested documents and
answer all the questions in the medical history section. You can send your application and requested documents
via regular mail to National Lymphedema Network, 116 New Montgomery St, Suite 235, San Francisco, CA 94105.
All applications will be reviewed by a committee consisting of lymphedema therapists and the NLN staff; personal
information will be kept confidential within the review committee. Please allow 2 - 4 weeks for review. You will be
notified by mail of the decision.
No, the NLN does not reimburse for garments; our industry partners donate the garments. If you would like to
receive garments from the MWGF you will need to apply to the fund and go through the review process. If you are
approved we will work directly with the garment company to help obtain the requested garment(s).
Patients are only eligible for one set of garment(s) per year.
Please send in your application fully filled out including your NLN member number, have your NLN-affiliated
therapist fill out your medical necessity form either online or on this printed form, a prescription that includes style,
compression class and manufacturer, your Explanation of Benefits and/or denials from your insurance company if
available, and a $25 non-refundable application fee.