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AU Orthema CAD/CAM Orthotic Prescription Form 2014-2025 free printable template

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CAD/CAM Orthotic Prescription Form 50 Hyena St, Camp Hill QLD Australia 4152 orders orthema.com.AU V2014.09.04PATIENT DETAILS Title: Ms Miss Mrs Mr Mast. Dr Name:Practitioner: Location: Cash Credit
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How to fill out AU Orformma CADCAM Orthotic Prescription Form

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How to fill out AU Orthema CAD/CAM Orthotic Prescription Form

01
Obtain the AU Orthema CAD/CAM Orthotic Prescription Form from a healthcare provider or download it online.
02
Fill in the patient's personal information including full name, date of birth, and contact details.
03
Provide details of the prescribing practitioner including their name, contact information, and professional registration number.
04
Specify the diagnosis or condition requiring orthotic intervention.
05
Indicate the type of orthotic device needed (e.g., foot orthoses, knee braces).
06
Include any specific measurements or specifications required for the orthotic.
07
Sign and date the form to validate the prescription.

Who needs AU Orthema CAD/CAM Orthotic Prescription Form?

01
Patients with musculoskeletal disorders requiring orthotic support.
02
Healthcare practitioners prescribing orthotics for rehabilitation or management of conditions.
03
Podiatrists, orthopedists, and physical therapists involved in the care of patients needing custom orthotics.
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The AU Orthema CAD/CAM Orthotic Prescription Form is a document used by healthcare providers to prescribe custom orthotics using CAD/CAM technology, allowing for precise modeling and manufacturing based on patient specifications.
Healthcare professionals, such as orthotists, podiatrists, and physicians, who are authorized to prescribe orthotic devices for their patients are required to file the AU Orthema CAD/CAM Orthotic Prescription Form.
To fill out the AU Orthema CAD/CAM Orthotic Prescription Form, practitioners should include patient details, prescription specifics including the type of orthotic, measurements, and any special instructions, ensuring accuracy and completeness.
The purpose of the AU Orthema CAD/CAM Orthotic Prescription Form is to provide a clear and concise method for healthcare providers to prescribe customized orthotic devices that meet the specific needs of patients.
The information that must be reported on the AU Orthema CAD/CAM Orthotic Prescription Form includes patient identification information, prescription details, measurement data, applicable diagnosis codes, and any specific modifications required for the orthotic.
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