Lymphedema Products

Upload Patient Forms

Luna Medical > Upload Patient Forms

Please use the form below to submit patient forms to Luna Medical. You may send scanned PDFs or photos of forms. You may include more than one form with your submission.

PLEASE NOTE: Today, December 13th, is the last day to submit orders for anything to be shipped in 2024 and be applied to 2024 benefits. We understand that there may be other deadlines you are used to but this year has been unlike any other and the demand is incredibly high and we want to make sure we give excellent customer service and we had to make tough decisions as a company for end of year demand. Those who had their benefits submitted prior to the 13th will be prioritized. We hope you understand and we thank you.