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Get the free Split Upright Mid-Calf AFO Order Form - Protosthetics

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Print Form 617 4 Street N Suite #1 Fargo, North Dakota 58102 contact protosthetics.com (701) 4782001 split Upright Miscall AFO Order Form Order Date: Date Needed: PO#: SHIPPING INFORMATION Facility:
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How to fill out split upright mid-calf afo

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How to fill out split upright mid-calf afo

01
Start by placing your foot inside the split upright mid-calf AFO.
02
Ensure that the heel of your foot is positioned correctly in the back of the AFO.
03
Fasten the straps or buckles of the AFO securely around your ankle or calf, depending on the design.
04
Adjust the straps or buckles to achieve a comfortable fit that provides support and stability.
05
Check that the AFO is aligned properly with your foot and leg, making any necessary adjustments to ensure proper alignment.
06
Take some time to walk around and test the AFO's fit and functionality. Make any additional adjustments as needed.
07
Follow any additional instructions provided by your healthcare provider or orthotist.

Who needs split upright mid-calf afo?

01
Split upright mid-calf AFOs are typically prescribed for individuals who require ankle and foot support due to conditions such as drop foot, ankle instability, or muscle weakness.
02
They can be beneficial for people with neurological disorders, such as stroke, multiple sclerosis, or cerebral palsy.
03
Additionally, individuals with certain types of foot deformities or injuries may also benefit from using a split upright mid-calf AFO.
04
It is important to consult with a healthcare professional or orthotist to determine if a split upright mid-calf AFO is appropriate for your specific needs.
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A split upright mid-calf ankle-foot orthosis (AFO) is a type of orthopedic device designed to support and stabilize the ankle and foot, characterized by its vertical components that split at the mid-calf level.
Health care professionals who prescribe or provide split upright mid-calf AFOs to patients must file the necessary documentation for insurance reimbursement and compliance purposes.
To fill out split upright mid-calf AFO documentation, gather patient information, provide details about the orthosis, document the medical necessity, and ensure that all sections of the form are completed correctly before submission.
The purpose of a split upright mid-calf AFO is to provide support and stability to the foot and ankle, improve mobility, and prevent deformities in patients with conditions affecting the lower extremities.
The information that must be reported includes patient demographics, diagnosis, details of the device prescribed, clinical justification, and any previous treatments or devices used.
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