Get the free Diabetic Shoe Order - First Choice Medical

Statement of Certifying Physicians for Therapeutic Footwear Patients Name: Phone Number: Street Address: City: DOB: Medicare #: State: Zip: (250.0 250.91) The patient above has diabetes mellitus (ICD-9

How to fill out diabetic shoe order

How to fill out a diabetic shoe order:

1. Start by gathering all necessary information about the patient who needs the diabetic shoe order. This includes their full name, contact information, address, and insurance details.
2. Next, consult with the patient's healthcare provider or physician to obtain a prescription for diabetic shoes. This prescription should specify the type of shoe needed and any additional modifications or features required to meet the patient's specific foot conditions.
3. Once you have the prescription, contact a diabetic shoe supplier or retailer who specializes in providing diabetic footwear. Provide them with the patient's information and prescription details to initiate the order process.
4. The supplier will typically request additional documentation, such as the patient's insurance information or Medicare coverage, to ensure reimbursement and eligibility for the diabetic shoe order. Fill out any required forms accurately and provide any supporting documents as requested.
5. Coordinate with the healthcare provider and the patient to ensure accurate fitting of the diabetic shoes. This may involve scheduling an appointment for the patient to visit the supplier's location for fitting or arranging for a home visit.
6. During the fitting process, the supplier will assess the patient's foot measurements, including width and length, to determine the appropriate shoe size. They will also consider any additional modifications needed, such as inserts or orthotics, to ensure optimal fit and support.
7. Once the fitting is complete, the supplier will proceed with placing the order for the diabetic shoes. They will communicate the estimated delivery time and any associated costs, including co-pays or deductible amounts.
8. Follow up with the patient and healthcare provider to ensure a smooth delivery process and address any concerns or questions that may arise. Encourage the patient to wear the diabetic shoes regularly and provide proper foot care instructions to maximize the benefits of the footwear.

Who needs a diabetic shoe order:

1. Individuals diagnosed with diabetes who suffer from foot conditions such as neuropathy, poor circulation, foot deformities, or ulcers may require a diabetic shoe order.
2. Diabetic shoes provide vital protection and support for individuals at risk of developing foot complications due to diabetes. They are designed with special features to reduce pressure, cushion the foot, and prevent friction, thus minimizing the risk of skin breakdown or ulceration.
3. Healthcare professionals, including physicians, podiatrists, or orthopedic specialists, may recommend or prescribe diabetic shoes for their diabetic patients to optimize foot health and prevent potential complications.

Note: It is important to consult with a healthcare professional to determine the specific need for a diabetic shoe order and to ensure proper fitting and appropriate shoe selection based on individual requirements.

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What is diabetic shoe order?

Diabetic shoe order is a prescription for specially designed shoes for individuals with diabetes to prevent foot complications.

Who is required to file diabetic shoe order?

A healthcare provider such as a podiatrist or physician is required to file a diabetic shoe order for a patient.

How to fill out diabetic shoe order?

The healthcare provider must complete the diabetic shoe order form with the necessary patient information, medical history, and shoe specifications.

What is the purpose of diabetic shoe order?

The purpose of diabetic shoe order is to ensure that individuals with diabetes receive properly fitting shoes to prevent foot ulcers and other complications.

What information must be reported on diabetic shoe order?

The diabetic shoe order must include the patient's name, date of birth, medical history related to diabetes and foot conditions, shoe size, and any other relevant information.