Get Sample Orthotics Consent Form.

Filling out the Sample Orthotics Consent Form is a vital step in ensuring you understand the services you are receiving and the associated costs. This guide will walk you through each section of the form, providing clear and concise instructions to help you complete it accurately.

Follow the steps to complete the Sample Orthotics Consent Form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by entering your full name where indicated. This should be the name of the person receiving the orthotic devices or the responsible party if applicable.
3. Review the agreement section carefully. Ensure you understand the costs associated with biomechanical evaluation, casting materials, and the custom-made orthotic devices.
4. If you have checked with your insurance carrier, note whether you do or do not have coverage for the orthotic devices in the space provided.
5. When you are ready to agree to the terms, provide your signature in the designated area.
6. Fill in the date next to your signature to indicate when you completed the form.
7. A witness will also need to sign the form. Ensure that the witness provides their full name and signature in the appropriate fields, along with the date.
8. Once all fields are complete, save changes to the form. You can download, print, or share it as needed.

Complete your documents online to ensure a smooth process.