Medical Letter_of_medical_necessity

Medical Necessity Air Ambulance Sophia Jongsma Kennedy Krieger

ID: a1c16fa27484c955

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Vendor
Johns Hopkins All Children's Hospital
Date
Jun 28, 2022
Processed
Sep 08, 2026 6:31 PM EDT
Original File
Scan_09082026_154232_000305.pdf

Summary

Letter of Medical Necessity dated June 28, 2022 supporting air ambulance transport of 5-year-old Sophia Jongsma (DOB 1/1/2017) from Johns Hopkins All Children's Hospital in St. Petersburg, Florida to Kennedy Krieger Institute in Baltimore for neurological rehabilitation following cardiac arrest and hypoxic ischemic encephalopathy from an elevator accident.

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