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Get the free Custom Plus Line Orthotic Order Form - Allied OSI Labs - PDF ...

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6299 Guion Rd Indianapolis, IN 46268 8004443632 8002332280 fax www.alliedosilabs.com Date Shipped to Lab Please place your account label here or fill in informationCUSTOM PLUS LINE ORDER FORM FOR
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How to fill out custom plus line orthotic

01
Step 1: Start by removing the existing insole or footbed from your footwear.
02
Step 2: Place the custom plus line orthotic on a flat surface and make sure it is correctly oriented for the left or right foot.
03
Step 3: Carefully align the back of your heel with the back edge of the orthotic and ensure it fits comfortably within your shoe.
04
Step 4: Apply gentle pressure on the orthotic to ensure proper adherence to the shoe's sole.
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Step 5: Put on your shoes and walk around to test the fit and comfort of the orthotic. Make any necessary adjustments if needed.
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Step 6: Enjoy the support and comfort provided by your custom plus line orthotic!

Who needs custom plus line orthotic?

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Custom plus line orthotics are recommended for individuals who experience foot pain, discomfort, or specific foot conditions such as plantar fasciitis, flat feet, high arches, or overpronation.
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They are also suitable for athletes, runners, and anyone who spends long hours on their feet.
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If you have tried over-the-counter insoles or foot supports without relief, a custom plus line orthotic may be a more effective solution for your specific needs.
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Custom plus line orthotic refers to a type of orthopedic device specifically designed to provide support and correction for foot and lower limb conditions. These devices are tailored to the individual’s anatomical and functional needs.
Healthcare professionals, such as podiatrists or orthotists, who provide custom orthotic devices are typically required to file custom plus line orthotics with appropriate regulatory bodies.
To fill out a custom plus line orthotic, one must provide patient information, device specifications, and any necessary medical documentation supporting the need for the orthotic.
The purpose of custom plus line orthotic is to alleviate pain, provide stability, improve mobility, and correct biomechanical issues in the feet and lower limbs.
Information that must be reported includes patient demographics, specific measurements for the orthotic, the type of condition being treated, and practitioner details.
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