Resource Library

Forms

Description Download Link
Custom AFO – Gauntlet/MBB order form
Custom AFO – Thermoplastic order form
Custom AFO – Specialty order form

Medicare DME Compliance

Description Download Link
Pre-casting packet – Custom molded gauntlets
Dispensing packet – Custom molded gauntlets
Pre-casting packet – Specialty AFO's
Dispensing packet – Specialty AFO's
Pre-casting packet – Thermoplastic AFO’s
Dispensing packet – Thermoplastic AFO’s
Pre-casting & dispensing packet – Pre-fabricated AFO’s
MIPS
CDFE - Comprehensive Diabetic Foot Exam form
MBB - Fall Risk Assessment Form