Appendix A: What A Justification Letter Should Include
I. What, who, how, where
A funding justification letter should be in report form. Some useful terms are:
- "Prevention of" or "accommodation to"
For example: sores, contractures, orthopedic deformities
- "Promote and/or support"
For example: breathing, swallowing, mobility
- The term to use is "adequate" not "optimal." No product is ever "perfect." It will not last forever because conditions of the patient and situation are constantly changing.
- A physician's note to endorse the report is usually necessary.
- It is also important to point out the long-term benefits.
These benefits should include those that apply to your medical needs/benefits:- Bone growth
- Respiratory activity
- Strengthening of anti-gravity muscles
- Development of head and trunk control
- Development of hand/eye coordination
- Opportunity for cognitive growth
- Bone growth
Other helpful hints:
- Refer to a three wheel trike as a "therapeutic mobility device."
- Always use the term "patient" not "client." It is a medical system and the product for medical reasons. Physicians do not have clients.
- It is imperative to define the product as a medical necessity.
For examples of medical justification letters look on the website http://www.freedomconcepts.com under funding.

