Lymphedema
Therapist Referral Request Form
Thank you
for allowing the Norton School of Lymphatic
Therapy to assist you in finding a Certified
Lymphedema Therapist. Please fill out
the following form and we will use your
ZIP code to locate therapists in your
local area. We will then e-mail you the
resulting list. If the list does not
prove extensive enough, please feel free
to resubmit another therapist referral
request.