SOLUTIONS ORTHOCARE

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1.800.484.4627

SOLUTIONS ORTHOCARE
  • Home
  • Medical Documentation

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

Copyright © 2021 Solutions Orthocare- All Rights Reserved.


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