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CUSTOM MADE ORTHOTICS **THIS FORM MUST BE FILLED OUT AND COMPLETED BEFORE YOUR APPOINTMENT. IF FORM IS NOT COMPLETE, YOUR APPOINTMENT WILL HAVE TO BE RESCHEDULED.** Patients Name: Information to ask
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How to fill out custom made orthotics

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How to fill out custom made orthotics:

01
Start by removing any existing insoles or inserts from your shoes to make room for the custom orthotics.
02
Check the instructions that came with your custom orthotics to see if there are any specific guidelines for filling them out.
03
Place the custom orthotics in your shoes and ensure that they are positioned in the proper location, with the arch support aligning with the natural arch of your foot.
04
Use your hand or a shoe horn to gently push the orthotics into place, making sure they are flat and properly adhered.
05
Take a moment to stand up and walk around in your shoes with the orthotics to ensure that they feel comfortable and supportive. Adjust the positioning if needed.
06
Once you are satisfied with the fit and feel of the custom orthotics, securely lace or fasten your shoes to keep them in place during regular use.

Who needs custom made orthotics:

01
Individuals with foot conditions such as flat feet, high arches, or plantar fasciitis may benefit from custom made orthotics. These orthotics provide additional support and help correct biomechanical imbalances.
02
People who experience foot or lower limb pain, especially after prolonged periods of standing or walking, can benefit from custom orthotics as they provide cushioning and shock absorption.
03
Athletes or individuals involved in sports or physical activities that put a lot of stress on the feet and ankles can benefit from custom orthotics to improve performance and reduce the risk of injury.
04
Individuals with certain medical conditions like diabetes or arthritis may have specific foot issues that can be addressed and managed with custom orthotics.
05
Anyone looking for improved comfort, support, and overall foot health can consider custom made orthotics as a preventive measure or for general well-being.
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Custom made orthotics are specially designed shoe inserts or devices that are made to support and comfort your feet.
Custom made orthotics are usually prescribed by a healthcare professional such as a podiatrist or orthopedic specialist.
To fill out custom made orthotics, you need to provide detailed information about the patient, the type of orthotic device, and any specific requirements or instructions from the healthcare provider.
The purpose of custom made orthotics is to help correct foot and ankle alignment issues, provide support for specific conditions, and improve overall comfort and mobility.
Information that must be reported on custom made orthotics includes the patient's name, date of birth, contact information, prescription details, and any insurance or payment information.
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