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Custom Design Orthotic Prescription Form Patient DetailsPodiatrist Details Acc NoPO#Clinic Name:Name: Age:Size:Podiatrist Name:Sex:Address:Footwear Type:Phone:Type / Heel Cup shapeDate:Arch Fill TechniqueTraditional:Concave
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How to fill out custom design orthotic prescription
How to fill out custom design orthotic prescription
01
Step 1: Start by gathering the necessary information about the patient, such as their medical history, any previous orthotic treatments, and their current symptoms or complaints.
02
Step 2: Perform a thorough examination of the patient's foot and lower extremities to determine the specific issues that need to be addressed with the custom design orthotic.
03
Step 3: Take precise measurements of the patient's foot using specialized tools and techniques, ensuring accurate data for the orthotic prescription.
04
Step 4: Analyze the collected information and measurements to develop a customized orthotic design that caters to the patient's unique needs and addresses their specific foot conditions or biomechanical abnormalities.
05
Step 5: Utilize computer-aided design (CAD) software or traditional craftsmanship to create the physical orthotic device based on the developed design.
06
Step 6: Fit the orthotic device to the patient's foot and make necessary adjustments to ensure a comfortable and effective fit.
07
Step 7: Provide clear instructions to the patient regarding the usage and maintenance of the custom design orthotic prescription.
08
Step 8: Schedule follow-up appointments to monitor the patient's progress and make any further adjustments or modifications to the orthotic, if needed.
Who needs custom design orthotic prescription?
01
People who have certain foot conditions or specific biomechanical abnormalities may require a custom design orthotic prescription.
02
These conditions may include but are not limited to flat feet, high arches, plantar fasciitis, bunions, hammertoes, diabetic foot ulcers, arthritis, and various sports-related injuries or imbalances.
03
Individuals who experience chronic foot pain, instability, gait abnormalities, or difficulties with balance and foot function could benefit from a custom-designed orthotic prescription.
04
It is advisable to consult a healthcare professional, such as a podiatrist or orthopedic specialist, to determine if a custom design orthotic is necessary for your specific foot condition or concern.
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What is custom design orthotic prescription?
A custom design orthotic prescription is a written order from a licensed healthcare professional specifying a personalized orthotic device to support or correct the function of a patient's body part, typically the feet.
Who is required to file custom design orthotic prescription?
Healthcare professionals such as podiatrists, orthopedists, and other licensed providers who prescribe orthotic devices for their patients are required to file custom design orthotic prescriptions.
How to fill out custom design orthotic prescription?
To fill out a custom design orthotic prescription, the prescriber must include patient information, details about the orthotic device needed, specific measurements, and the purpose of the prescription, along with the prescriber's identification.
What is the purpose of custom design orthotic prescription?
The purpose of a custom design orthotic prescription is to provide patients with specific orthotic solutions that help improve their mobility, alleviate pain, and support proper alignment and function of the body.
What information must be reported on custom design orthotic prescription?
The information that must be reported includes patient name, date of birth, specific type of orthotic device prescribed, measurements, diagnoses, and the prescriber's details like name and practice information.
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