April 18, 2026
Dear Referring Physician,
I am writing to request a referral to RevitalizeMe Hyperbaric Oxygen Therapy & Wound Care in Saginaw, Michigan for evaluation and treatment of Soft Tissue Radionecrosis.
RevitalizeMe is a Medicare- and insurance-credentialed outpatient center specializing in FDA-approved hyperbaric oxygen therapy (HBOT) and advanced wound care. Their services are covered by Medicare, Medicaid, and most major private insurance plans.
Per CMS NCD 20.29, Soft Tissue Radionecrosis is a covered indication for hyperbaric oxygen therapy when medically necessary. I understand that Medicare requires documentation of prior standard care before HBOT authorization.
I would appreciate your consideration of this referral. RevitalizeMe can be reached directly at (989) 320-4434 to coordinate my care.
Sincerely,