1 For whom do you file a request? 2 Information about the situation 3 Information on items purchased 4 Attach a file 5 Next 6 Fin webform_started Request a reimbursement for compression garments for lymphedema Unless otherwise indicated, answer all the questions. For whom do you file a request? For whom do you file a request? For whom do you file a request? For myself For my child or another person apt. Leave this field blank
