The following information and documents are required to complete the application process:
The questionnaire form is a general inquiry from The Ninjas Fighting Lymphedema Foundation (NFLF) as to services you [the applicant] are interested in applying for. This form is not HIPAA compliant so please do not disclose any medical information. After completing this questionnaire, you will receive a confirmation email stating that your application has been received. The application process can take up to 30 days.
• All applications with supporting documents must be submitted in a single submission electronically to
• Applications must include diagnosis from the therapist or doctor (if you need a therapist or doctor please state that in the application portion), completed order form for the items requested assistance with. Please note: these need to be submitted at one time.
• Patient's personal statement of financial need is acceptable. Please note: financial information is no longer required.
• Waiver of Liability
• Photo/Info Release Form
Incomplete applications will be denied with any missing details. Please note: we will no longer call and request missing items.
Applications must include diagnosis from the therapist or doctor (if you need a therapist or doctor please state that in the application portion), completed order form for the items requested assistance with.
Please note: these need to be submitted at one time.
"I don't feel alone anymore" - Ashley
Our Mission is to educate our lymphatic community and medical professionals concerning the importance of early diagnosis, compliance, and resources needed to reduce the medical costs epidemic. We focus on a proactive approach, in combination with our compliance programs and partnerships, we will provide the resources necessary to promote a healthy lymphatic lifestyle and reduce the financial burden of lymphedema.
Our Vision: To bring awareness about the prevalence and devastating effects of lymphedema in our communities and inspire patients to stay compliant with treatments offered. Our goal is to promote and create a lifestyle that focuses on living a positive life with lymphedema.