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SOLUTIONS ORTHOCARE
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  • Medical Documentation

Diabetic Shoes & 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.

Supplier Standard (pdf)Download
Patient's Rights & Responsibilities PDF (pdf)Download
2020 Notice of Privacy Practice (pdf)Download
HIPAA 2020 PDF (pdf)Download
Intake Form (pdf)Download
Diabetic Shoe Packet 2020 (pdf)Download
L1845 Knee Joint Hinged Brace (pdf)Download
L0626 Back 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

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