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PATIENT WELCOME, PROTOCOLS, WARRANTIES & INSTRUCTIONS

Welcome Letter (pdf)Download

Protocol for Complaints. Warranties, Instructions (pdf)Download

Diabetic Shoes & OTHER Physician Orders

Click on a file to download orders for diabetic shoes or custom orthotics for plantar fasciitis.
Start with Privacy Notice, Move to Intake Form, next HIPAA & Assignment and finally the forms packet.

Diabetic Packet 2022 (pdf)Download

Intake Form (pdf)Download

HIPAA 2020 PDF (pdf)Download

Patient's Rights & Responsibilities PDF (pdf)Download

Supplier Standards (pdf)Download

2020 Notice of Privacy Practice (pdf)Download

L1845 Knee Joint Hinged Brace (pdf)Download

L3000 Custom Orthotics Form (pdf)Download

L1971 Ankle Air Stir Up Cast Form (pdf)Download

L4386 CAM Walking Boot Ankle or Tall (pdf)Download

L3100 Bunion Splint (pdf)Download

2020 L0626 Back Brace (pdf)Download

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