Get the free custom afo order form - BioStep
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CUSTOM AFO
ORDER FORMBioStepOrtho.com7618 Woodman Avenue Unit 10
Panorama City, California 91402T 818 373 0010
F 818 373 0030Advanced Foot Care ProductsBILLING INNOCENT INFORMATIONAL:SHIPPING INFONAMENAMEADDRESSADDRESSCITYSTATE(PHONE)FAXCITYZIPCODE(EMAIL)CASTING
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How to fill out custom afo order form
How to fill out custom afo order form
01
Start by downloading the custom AFO order form from the official website.
02
Fill out your personal information such as name, address, and contact details in the designated fields.
03
Specify the type and size of the AFO you require. Provide any necessary measurements or details requested.
04
Indicate any specific modifications or customizations you need for your AFO, if applicable.
05
If you have a prescription from your doctor, attach a copy to the order form.
06
Review the completed form to ensure all information is accurate and complete.
07
Submit the order form through the designated submission method, whether it is via email, fax, or mail.
08
Wait for confirmation of receipt and processing of your AFO order.
09
Follow any additional instructions provided by the company regarding payment, delivery, or follow-up appointments.
10
Maintain a copy of the order form and any related documentation for your records.
Who needs custom afo order form?
01
Custom AFO order forms are needed by individuals who require custom-made ankle-foot orthoses (AFOs) to address specific medical conditions or orthopedic needs.
02
This includes individuals with conditions such as foot drop, cerebral palsy, multiple sclerosis, muscular dystrophy, or those recovering from foot or ankle injuries.
03
People who have undergone orthopedic surgeries or have certain foot deformities may also require custom AFOs.
04
Custom AFO order forms ensure that the AFOs are accurately tailored to meet the unique requirements and measurements of the individuals who need them.
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What is custom afo order form?
Custom AFO Order Form is a document used to request custom-made ankle-foot orthosis (AFO) braces for patients.
Who is required to file custom afo order form?
Medical professionals such as physicians, orthotists, or podiatrists are required to file the Custom AFO Order Form.
How to fill out custom afo order form?
The Custom AFO Order Form should be completed with the patient's information, specific brace requirements, and signed by the prescribing medical professional.
What is the purpose of custom afo order form?
The purpose of the Custom AFO Order Form is to ensure that custom-made AFO braces are accurately prescribed and provided to the patient.
What information must be reported on custom afo order form?
The Custom AFO Order Form must include the patient's details, the prescribed AFO brace specifications, and the medical professional's signature.
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