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C537 PROSTHETIC AND ORTHOTIC SERVICES Invoice P.O. BOX 2415 EDMONTON, AB T5J 2S5 FAX: (780) 4275863 18006611993 Please print clearly or type. WEB Claim Number Workers Surname First Name Address Personal
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Begin filling out the personal information section. This would typically include your full name, address, date of birth, and contact information.
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c537 prosformtic and orthotic refer to specialized devices like prosthetics and orthotics used to support or enhance a person's mobility.
Healthcare providers or facilities that provide prosthetic and orthotic devices are required to file c537 forms.
To fill out c537 forms, healthcare providers need to report information about the prosthetic and orthotic devices provided to patients.
The purpose of c537 forms is to track and monitor the use of prosthetic and orthotic devices for patients.
Information reported on c537 forms may include patient details, the type of device provided, and the date of service.
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