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Funding Support

The information contained on this page is meant to serve as a starting point for processing your funding request. Tobii ATI will work with you to process your claim through your chosen form of health insurance.

First - To start learning about the funding process. Some great information can be found in our funding guides, click here, or by viewing our funding timeline.

Second - in order to obtain funding for AAC devices through private health insurance, Medicaid or Medicare, you will need to submit the following information and documents to us. We'll help you with that process. Click on each item to learn more.

Funding Packet Documents

Type of document

PDF

Word

Funding Cover Letter

Download PDF Download editable word document

Funding Checklist

Download PDF Download editable word document

Client Information Form

Download PDF Download editable word document

Letter of Medical Necessity

Download PDF Download editable word document
Repair Letter of Medical Necessity Download PDF Download editable word document

Physician's Prescription

Download PDF Download editable word document

Physician's Prescription - example

Download PDF Download editable word document

Speech Evaluation Worksheet

Download PDF Download editable word document

Speech Evaluation Worksheet - School aged example

Download PDF Download editable word document

Speech Evaluation Worksheet - Example

Download PDF Download editable word document

Things to Consider Before Writing the Speech Report

Download PDF Download editable word document

Assignment of Benefits Form

Download PDF Download editable word document

Rental Order Form and Rental Contract, if applicable

To the rental page


You may also Download the complete ATI Funding Packet containing all the documents above in one pdf file by clicking on this link .

For more information, please: Contact our Funding Department .