SAMPLE LETTER FOR INSURANCE COMPANY
TO WHOM IT MAY CONCERN: (Insurance carrier)
This is to certify that _(your name)_ is a patient of mine. (S)he is being treated for recurrent major depressions with a seasonal pattern.
Referral to "seasonal patterns of depression" has been included in the most recent revision of the _Diagnostic and Statistical Manual of Mental Disorders (DSM IV)_. Phototherapy is no longer considered experimental, but is a mainstream type of psychiatric treatment for Seasonal Affective Disorder (SAD). According to the December 8, 1993 issue of _The Journal of the American Medical Association (JAMA)_, "For many patients with SAD, light therapy should be regarded as a first-line treatment, given its high success and acceptance rate" (Vol. 270, No. 22, pages 2717-2720). In 1989, the American Psychiatric Association's Task Force on Treatment of Psychiatric Disorders (Vol. 3, pages 1890-1986, A.P.A. Press), recommended light therapy as treatment for the range of clinical depression diagnoses including:
CODE NO. / DIAGNOSIS
DSM IV-296.3x / Major Depression, Recurrent
DSM IV-296.4x / Bipolar Disorder, most recent episode-Manic
DSM IV-296.5x / Bipolar Disorder, Depressed
DSM IV-296.6x / Bipolar Disorder, Mixed
DSM IV-296.70 / Bipolar Disorder, NOS
DSM IV-311.00 / Depressive Disorder, NOS
In order to administer phototherapy adequately, a bright light unit is required. In _(your name)_'s case, the use of the bright light unit should be regarded as a medical necessity and preferable to other forms of treatment.
These procedures conform to April, 1993 U.S. Public Health Service-Agency for Health Care Policy and Research guidelines for management of this disorder.
PUBLICATION # / PUBLICATION TITLE
AHCPR93-0551 / Depress: Guideline Vol. 2
AHCPR93-0553 / Depress: Patient Guide
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