Sample Justification to Support LMN
This tool is to assist in justifying items in a letter of medical necessity (LMN) and will provide sample justifications for Permobil products.
Please NOTE: Specific client information should be added by the prescribing medical professional to complete the letter of medical necessity.
A Sample LMN and Examples of complete letters are available in the Funding section of the Permobil website.
Once you check all necessary component sections, click “Show Generated Letter” and copy/paste into your letterhead and edit as necessary.






