Advocacy Letters

Advocacy Letters for Children

Education Accommodation Plans - Overview
(Adobe PDF File)

Sample School Accommodation Letter
(Microsoft Word Document)

II. Patient assistance plans that help with medication financing and medication copays

•Sample Letter - Patient Assistance
(Microsoft Word Document)

III. Legally sanctioned work absences without fear of losing one’s job under the Family and Medical Leave Act

Family Leave Act - Overview
(Adobe PDF File)

Sample Letter - Family Leave Act
(Microsoft Word Document)

IV. Letters of medical necessity that inform an insurance company of the need for a particular treatment.

IV. Letters of medical necessity for IBD Medications

Letter of Medical Necessity for Coverage for Fecal Calprotectin to Monitor Disease
(Microsoft Word Document)

Letter of Medical Necessity for Fecal Calprotection to Screen for IBD
(Microsoft Word Document)

Letter of Medical Necessity for Therapeutic Drug Monitoring
(Microsoft Word Document)

Sample Appeal Letter - Capsule Endoscopy
(Microsoft Word Document)

Sample Appeal Letter - Medication
(Microsoft Word Document)

Copy of Sample Appeal Letter - Medication
(Microsoft Word Document)

IBD Medications - Letters of Medical Necessity

Drop Down Menus for EPIC

Drop Down Menus for EPIC
(Microsoft Word Document)

EPIC Compatible Letters

EPIC Adalimumab Letter
(Microsoft Word Document)

EPIC Infliximab Letter
(Microsoft Word Document)

EPIC Upadacitinib Letter
(Microsoft Word Document)

EPIC Risankizumab Letter
(Microsoft Word Document)

EPIC Ustekinumab Letter
(Microsoft Word Document)

EPIC Vedolizumab Letter
(Microsoft Word Document)

Non-EPIC Compatible Letters

Non EPIC Adalimumab Letter
(Microsoft Word Document)

Non EPIC Infliximab Letter
(Microsoft Word Document)

Non EPIC Risankizumab Letter
(Microsoft Word Document)

Non EPIC Upadacitinib Letter
(Microsoft Word Document)

Non EPIC Ustekinumab Letter
(Microsoft Word Document)

Non EPIC Vedolizumab Letter
(Microsoft Word Document)

If you or your team requires additional help with these issues,the following resources are available:

Advocacy for Patients with Chronic Illness - (Jennifer Jaff, Esq).

Know your Rights: A Handbook for Patients with Chronic Illness (2008 edition). or www.Amazon.com.

Additional downloadable letters are available on the Crohn’s and Colitis Foundation’s Website in the professionals section.

The materials have been prepared by the NASPGHAN Inflammatory Bowel Disease Committee

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