Get the free Custom AFO Order Form - Acor Orthopaedic Inc
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Custom AFO Order Form Actor Orthopedic, Inc. 18530 South Miles Parkway Cleveland, OH 44128 phone 800-237-2267 fax 216-587-9529 www.acor.com ABOUT THE PATIENT Name: Age: Weight: lbs. SHIP TO Address
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What is custom afo order form?
Custom AFO order form is a document used to request customized Ankle-Foot Orthosis devices.
Who is required to file custom afo order form?
Healthcare professionals such as doctors, orthotists, and prosthetists are required to file the custom AFO order form.
How to fill out custom afo order form?
To fill out the custom AFO order form, you need to provide patient information, details of the custom AFO device needed, and any other relevant medical information.
What is the purpose of custom afo order form?
The purpose of the custom AFO order form is to ensure that patients receive precisely tailored Ankle-Foot Orthosis devices to meet their specific needs.
What information must be reported on custom afo order form?
The custom AFO order form must include patient demographics, medical history, specific AFO requirements, and any additional instructions.
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