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FOR ORTHOTICS ONLYKineMedic Concepts, Inc. P.O. Box 3220 Blue Jay, CA 92317 Phone: (909) 3373449 Fax: (909) 4980300 Web: www.KineMedic.comLower Extremity Custom Order Formation InformationFirst Name:___ Last
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How to fill out orthotists ordering prefabricatedsemi-custom orthotics

01
Obtain a prescription from a healthcare provider indicating the need for orthotics.
02
Determine the appropriate size and type of orthotic based on the patient's foot measurements and condition.
03
Select a reputable supplier of prefabricatedsemi-custom orthotics.
04
Complete the supplier's order form with the patient's information, prescription details, and orthotic specifications.
05
Review the order form for accuracy before submitting it to the supplier.
06
Wait for the orthotics to be delivered and ensure they fit the patient properly.

Who needs orthotists ordering prefabricatedsemi-custom orthotics?

01
Patients with foot deformities or conditions that require corrective support.
02
Athletes looking to prevent injuries or improve performance through biomechanical alignment.
03
Individuals with chronic foot pain or discomfort who can benefit from additional support.
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Orthotists ordering prefabricated semi-custom orthotics refers to the process by which certified orthotists prescribe and order orthotic devices that are partially customizable for individual patients, typically based on specific functional and anatomical needs.
Orthotists who are licensed and authorized to prescribe orthotic devices are required to file the necessary documentation for ordering prefabricated semi-custom orthotics.
To fill out the order, orthotists should include the patient's personal information, the specific type of orthotic device being ordered, measurements, any customization details needed, and authentication by signing the order form.
The purpose is to provide patients with effective support and correction for various musculoskeletal conditions, enhancing mobility and overall quality of life through tailored orthopedic devices.
Required information includes patient demographics, diagnosis, specific orthotic type, measurements, order frequency, and the orthotist's credentials and signature.
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