Abstract: A system is provided for generating a letter of medical necessity based upon a specification sheet. The system receives a specification sheet creation request from a vendor that includes information regarding a client, a clinician, a vendor, a physician, a primary equipment item, equipment accessories, a client assessment, client photos, customized comment fields, and client measurements. The specification sheet requires a final review for vendor verification and modification. Upon completion, the vendor submits the specification sheet, with a completion deadline, to the specified clinician. After the clinician is alerted to, and approves, the specification sheet, data from the specification sheet is imported to assist the clinician in drafting a letter of medical necessity. The clinician is required to modify template letter text, and upon completion, downloads the letter of medical necessity, whereupon the vendor is notified of the completion of the letter of medical necessity.