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Referral For Prosthetic AssessmentName: HCN:Rehabilitation/Continuing Care ProgramCL1 3 9 0044003 2013Date of Birth:Prosthetics/Orthotics Department Telephone: (709) 7776470 Fax: (709) 7776725Referral
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01
Gather necessary documents and referral information from healthcare professionals.
02
Assess the patient's specific needs and condition related to their mobility and posture.
03
Measure the patient's dimensions accurately, including foot length, width, and arch height.
04
Select the appropriate materials and components for the orthotics or seating solution.
05
Complete the prosformtics form by filling in all required sections including patient information, measurements, and specifications.
06
Review the completed form for any missing information or errors.
07
Submit the prosformtics form to the appropriate provider or manufacturer.

Who needs prosformtics orthotics and seating?

01
Individuals with foot deformities or disabilities that affect walking.
02
People with conditions such as cerebral palsy or muscular dystrophy.
03
Patients requiring post-operative support for foot or limb surgeries.
04
Individuals with neurological conditions that affect mobility.
05
Children with developmental delays that impact their physical capabilities.
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Prosformtics orthotics and seating refer to the specialized use of orthotic devices and seating systems designed to improve mobility, posture, and overall quality of life for individuals with physical disabilities or conditions affecting movement.
Individuals or healthcare providers who dispense or administer orthotic devices and seating systems typically need to file prosformtics orthotics and seating documentation as part of insurance or health care reimbursement processes.
To fill out prosformtics orthotics and seating, one should gather all necessary patient information, specify the type of orthotic or seating device, outline the medical necessity, and ensure all required fields are accurately completed to comply with submission guidelines.
The purpose of prosformtics orthotics and seating is to provide essential support, enhance mobility, prevent complications, and promote independence for individuals with physical limitations.
Information that must be reported includes patient identification details, the type of orthotic or seating device, medical necessity documentation, provider details, and any relevant insurance information.
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