Many insurance companies will reimburse for post-mastectomy bras, garments, camisoles, breast prostheses, and lymphedema sleeves/gloves. However, a prescription from your doctor is required. Please request your doctor to fill out this prescription template and send us the completed form for your insurance claim.

Please click here to download the Post-Mastectomy Prescription.

Please email the completed prescription at or fax it to us at (281) 602-5094.

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