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Rothenberger Orthotics & Prosthetics, LLC 181 Lynch Creek Way, Suite 101 Petaluma, CA 94954 www.hittenberger.com 7077651122 4154991122 FAX 7077654571 Patient Name: Acknowledgement of Receipt of Notice
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How to fill out hittenberger orthotics & prosformtics:

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Start by carefully reading the instructions provided with the hittenberger orthotics & prosformtics. Familiarize yourself with the different components and their specific functions.
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Identify the appropriate size for the orthotics or prosthetics based on the individual's needs. This may require taking measurements or consulting with a healthcare professional.
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Place the orthotics or prosthetics on a clean and flat surface. Ensure that all straps and fasteners are unclipped and ready to be adjusted.
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If necessary, apply any padding or additional supports as per the instructions. These may vary depending on the specific orthotics or prosthetics being filled out.
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Gently position the hittenberger orthotics or prosformtics on the intended area of the body, ensuring a proper fit and alignment with the individual's anatomy. Adjust the straps and fasteners to secure the orthotics or prosthetics in place.
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Double-check that all points of contact are properly cushioned and that no discomfort or pressure points are present. If there is any discomfort, readjust the orthotics or prosthetics accordingly.
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Once the orthotics or prosthetics are securely in place, have the individual test them out by performing simple movements or activities. Observe for any signs of discomfort or inefficiency.
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Make any necessary adjustments to the fit or alignment based on the individual's feedback. It may be required to loosen or tighten certain straps to optimize comfort and functionality.
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Periodically reassess the orthotics or prosthetics' fit and adjust them as needed. The individual's body may undergo changes or adjustments that require modifications to the orthotics or prosthetics over time.
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Regularly clean and maintain the hittenberger orthotics & prosformtics to ensure their longevity and effectiveness. Follow the manufacturer's guidelines for cleaning and storage to prevent any damage or degradation.

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Individuals with certain medical conditions or injuries that require support, realignment, or assistance with physical mobility may benefit from hittenberger orthotics & prosformtics.
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Hittenberger orthotics and prosformtics refer to a form used for reporting orthotics and prosthetics services provided by Hittenberger company.
Healthcare providers who offer orthotics and prosthetics services through Hittenberger are required to file the Hittenberger orthotics and prosformtics form.
To fill out the Hittenberger orthotics and prosformtics form, providers need to input detailed information about the orthotics and prosthetics services provided, along with patient details and insurance information.
The purpose of Hittenberger orthotics and prosformtics is to accurately report the orthotics and prosthetics services provided by Hittenberger, ensuring proper documentation and billing.
Providers must report details of orthotics and prosthetics services, patient information, date of service, insurance details, and any other relevant information required for billing and documentation purposes.
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