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ORTHOTIC PRESCRIPTION FORM PIEDMONT ORTHOTIC LABORATORY, INC. 240 Demos Drive Roebuck, South Carolina 29376 Tel: (864) 5769033 Fax: (864) 5767051 Toll Free 18003590483 DOCTOR: PATIENT: ADDRESS: SEX:
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How to fill out orthotic prescription piedmont orthotic

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01
To fill out an orthotic prescription for Piedmont Orthotic, start by noting the patient's personal information, such as their name, date of birth, and contact information. This will help identify the patient and ensure the prescription is correctly assigned.
02
Next, include the healthcare professional's information, including their name, title, and contact details. This is important for maintaining accurate records and providing a point of contact for any necessary follow-up.
03
Specify the type of orthotic device needed. Piedmont Orthotic offers a variety of orthotic products, so indicate whether it is for an arch support, brace, shoe insert, or any other specific device.
04
Include the reason why the orthotic prescription is necessary. This could be a specific foot condition, injury, or any other ailment that requires orthotic intervention. Providing a clear and detailed explanation will help ensure the orthotic device is properly fitted and suited to the patient's needs.
05
Offer any additional instructions or specifications for customization. Piedmont Orthotic provides customized options, such as different sizes, materials, or modifications. If any special requirements are necessary, clearly state them in the prescription.
06
Indicate the quantity of orthotic devices needed. Depending on the patient's condition or treatment plan, multiple orthotic devices may be required. Be specific about the number, ensuring there is no confusion when processing the prescription.
07
Lastly, sign and date the prescription to validate it. This confirms that the prescription has been appropriately authorized and is in compliance with professional standards and regulations.

Who needs an orthotic prescription from Piedmont Orthotic?

01
Individuals experiencing foot or lower limb pain: An orthotic prescription may be needed for patients who suffer from conditions such as plantar fasciitis, flat feet, high arches, or any other foot or lower limb issues causing discomfort or pain.
02
Athletes seeking performance enhancement: Many athletes use orthotic devices to enhance their performance, provide support, and prevent injuries. A Piedmont Orthotic prescription can be beneficial for athletes participating in sports that involve repetitive movements, high impact, or excessive pressure on the feet.
03
Individuals recovering from injuries or surgeries: Orthotic devices can aid in the recovery process and provide stability and support following foot or lower limb injuries or surgeries. An orthotic prescription from Piedmont Orthotic may be necessary to ensure the correct device is provided for optimal recovery.
04
Those with chronic foot conditions: Some individuals suffer from chronic foot conditions, such as bunions, hammertoes, or arthritis, which require ongoing management and support. An orthotic prescription from Piedmont Orthotic can help alleviate pain, improve mobility, and enhance overall foot health.
05
Individuals seeking comfort and improved posture: Orthotic devices can provide comfort and support for those who spend long hours on their feet or have jobs requiring repetitive movements. Piedmont Orthotic prescriptions can be beneficial for individuals looking to improve their posture and prevent fatigue or strain on the feet.
Remember, it is always important to consult with a healthcare professional, such as a podiatrist or orthopedic specialist, to determine if an orthotic prescription is necessary and which specific device will best suit your needs.
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Orthotic prescription Piedmont Orthotic is a customized orthotic device specifically designed to meet the individual needs of patients.
Orthopedic doctors, podiatrists, and other healthcare professionals are required to file orthotic prescription Piedmont Orthotic for their patients.
To fill out an orthotic prescription Piedmont Orthotic, healthcare professionals must provide detailed information about the patient's condition, measurements, and specific requirements for the orthotic device.
The purpose of orthotic prescription Piedmont Orthotic is to provide patients with custom-made orthotic devices to support, protect, and improve the function of their feet and ankles.
The orthotic prescription Piedmont Orthotic must include the patient's name, diagnosis, specific orthotic requirements, and the healthcare provider's contact information.
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