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Letter of Medical Necessity Form for Speech Therapy (Editable, Fillable, Printable PDF)
Having the right tools as a speech therapist is crucial for providing effective and personalized therapy to clients. Our Letter of Medical Necessity Form for Speech Therapy  is used to provide justification for health-care services in order to obtain approval from insurance companies. This Letter of Medical Necessity template for speech therapy services will help you construct a thorough and concise explanation for your patient’s/client’s insurance companies. Medicare’s definition for “medically necessary reads as follows: “health-care services or supplies needed to prevent, diagnose, or treat an illness, injury, condition, disease, or its symptoms, and that meet accepted standards of medicine.” Although this template does not guarantee that your services will receive insurance coverage, it helps to outline the major components of a successful letter. Included in this product are two options: A prewritten letter of medical necessity form (that can be edited) and a blank letter of medical necessity form you can fill out.
SpeechTherapyByPro helps you streamline the therapeutic process so that your clients can be their best selves. Our editable, fillable, printable PDFs are perfect for pediatric speech therapists, adult speech therapists, corporate speech therapists, voice coaches, and other types of speech therapists.
This Letter of Medical Necessity Form for Speech Therapy PDF can be downloaded and used with all your clients, giving them the ability to fill it out on a digital device or print it out.
Want to see how our worksheets work? Download our Simple SOAP Note Template
Trusted By Speech Therapists Around the World!

"This is a GREAT template!!! I can't wait to give these to my clients. I've found it to be detailed but not overly complicated, aesthetically pleasing, and easy for my clients to work on."
Jennifer

"It's a very high-quality worksheet that I will use with clients over and over again. Bonus points for making it personalize-able. Great selection of worksheets to choose from, will be back for more."
Sharla

"Great templates! I can edit the document for my needs. Quick response from the shop owner. Item met my expectations. I'm excited that these worksheets will help my clients."
Brooke
Benefits of Our Worksheets:
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- Fillable PDF worksheets: Quickly fill out our template on a digital device like a computer or print out
- Not all text is editable, however, If you need to edit the text, we can provide you with a free online website to make changes
- Each worksheet purchase licenses 1 mental health professional the ability to use with all their clients / patients.
- Professionally designed by graphic designers to make your practice look its best
- Unlimited downloads - Our products never expire.
- Organize all your client documents in an easy to find folder on your computer or in the cloud
- Can be legibly read by both you and your clients
- Can be printed in high quality and is easy on your printer (black and white)
- Standard U.S. letter size - 8.5" x 11"
- Search for specific parts your plan quickly by using "CTRL + f" function on your keyboard
This Product Includes:
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- License for 1 speech therapist
- Fillable PDF worksheet(s) that can be used on a digital device or printed out and filled in by hand
- Ability to be filled in or edit most text (we provide a free online tool to make edits if needed)
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