To apply for any of the options below, please complete all steps of the application process.

  • Certified Lymphedema Therapist (CLT)

  • Virtual consultations

  • Measuring sessions

Financial Assistance

  1. Custom garments

  2. Bandaging supplies

  3. Therapy sessions

  4. Surgical procedures

  5. Compression pumps

    ***Please note: A lymphedema diagnosis (and proof) is needed to be accepted as a recipient. Lymphatic malformation and vascular malformation cannot be the only diagnosis***

APPLICATION STEPS

 

1. Completed Questionnaire (click below)

2. Documents Needed (email: admin@brylansfeat.org)

-Lymphedema Diagnosis from doctor

-3 to 5 photos of patient (at least one photo including face)

-Copy of insurance card (if applicable)

3. Completed Forms (click below)

-Waiver of Liability

-Photo/Info Release Form

-PT Disclosure Form

 
 

Please allow 3-5 business days once your application is completed for review.

During the months of June & July, please allow 7-10 business days.

Returning recipients do not need to reapply, please email brittany@brylansfeat.org