Get the free DIABETIC SHOES AND INSERTS EVALUATION FORM

DIABETIC SHOES AND INSERTS EVALUATION FORM To be considered part of the patient\'s medical recordsPATIENT INFORMATION Name:Medicare Beneficiary #:D.O.B. Sex:Height:Evaluating Physician:Weight:Date

How to fill out diabetic shoes and inserts

How to fill out diabetic shoes and inserts:

1. Start by ensuring that the diabetic shoes and inserts are the correct size for the individual. This is important to provide the right amount of support and comfort.
2. Carefully place the inserts inside the diabetic shoes. Some shoes might have removable insoles, in which case, take them out before inserting the diabetic inserts.
3. Adjust the position of the inserts within the shoes, making sure they are centered and align with the arches of the feet. It is essential to distribute pressure evenly and prevent any discomfort or potential foot problems.
4. Fasten the shoes securely, ensuring a snug fit but without causing any tightness or constriction. The diabetic shoes should provide ample space for the feet to move comfortably and to accommodate any potential swelling.
5. Make sure the diabetic shoes and inserts are clean and free from any debris before wearing them. Maintaining good foot hygiene is crucial for individuals with diabetes to prevent infections.

Who needs diabetic shoes and inserts:

1. Individuals with diabetes who have a history of foot problems such as ulcers, calluses, or neuropathy often require diabetic shoes and inserts. These problems can arise due to reduced blood circulation, nerve damage, or abnormal foot structure associated with diabetes.
2. Individuals who have undergone foot surgery or have foot deformities may benefit from diabetic shoes and inserts to provide additional support and protection.
3. Those with a high risk of developing foot complications due to diabetes, such as those with poor control of blood sugar levels or a longer duration of diabetes, might also require diabetic shoes and inserts.

Overall, diabetic shoes and inserts are recommended for individuals with diabetes who need proper foot care and protection to prevent potential foot complications and maintain good foot health.

For pdfFiller’s FAQs

What is diabetic shoes and inserts?

Diabetic shoes and inserts are specially designed footwear and orthotic inserts that provide extra support and protection for individuals with diabetes, who are at a higher risk of developing foot complications.

Who is required to file diabetic shoes and inserts?

Healthcare providers, such as podiatrists and orthopedic specialists, are required to file diabetic shoes and inserts for their diabetic patients who need them for medical reasons.

How to fill out diabetic shoes and inserts?

The healthcare provider must assess the patient's foot condition, recommend the appropriate diabetic shoes and inserts, obtain necessary documentation, and submit the claim to the insurance company for reimbursement.

What is the purpose of diabetic shoes and inserts?

The purpose of diabetic shoes and inserts is to prevent foot ulcers, reduce pressure and friction on the feet, and provide support to prevent complications in individuals with diabetes.

What information must be reported on diabetic shoes and inserts?

Information such as the patient's medical history, foot condition assessment, prescribed footwear and inserts, and insurance information must be reported on diabetic shoes and inserts.

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