BCFO provides Lymphedema garments through area medical supply providers. To qualify, candidates must be uninsured or underinsured, and lymphedema must be a result of breast cancer treatment.

Process

• Fill out the Lymphedema Garment application and Medical Records Authorization and fax, mail or drop off at BCFO office: BCFO, 330 N Jefferson, Suite B, Springfield, MO 65806
• Please be specific about what type of garments are needed.
• Applicants will receive a phone call to confirm receipt of application and to obtain a short case history.
• BCFO will request a copy of the most recent medical records related to your need for lymphedema garments
• Once all necessary information has been received, applicants will receive a letter regarding approval with instructions on how to proceed.

Payment for Lymphedema garments will be paid to invoice to the garment provider.

Click here to print the Lymphedema Garment Application

Click here to print the Medical Release Authorization Form

*Please note, HIPAA Release MUST be notarized. BCFO has a licensed notary on staff whose services are available free of charge during normal business hours.