Request for Orthotics

3 Steps to Getting your Patients the Orthotics they Need

  • 1. Medical justification and expected clinical outcomes are documented.
  • 2. Request and demographics are faxed, emailed or submitted utilizing the secure online form below.
  • 3. Our staff obtains prescriber’s approval, contacts the patient to address billing concerns, ships the product directly to the patient, and provides expert product assistance to the patient, their caretaker, and/or to you.

Requesting an orthotic for your patient is simple and we will communicate with you so you will confidently know your patient is taken care of.