Download Special Directions© Form
Right-click on a "Download" link below and choose "Save / Download" from the pop-up menu to save the LOI form to your computer:
The Special Directions© (comprised of two files) is saved in a compressed ZIP format. You will need to extract the files (right click on the file icon and select "Extract" from the pop-up menu).
For Lynx medical summary information, please click here.
Important Form Information: