Get Download The Torch Walker Order Form - American Orthopedic

This guide provides a comprehensive overview of how to accurately complete the Download The TORCH Walker Order Form from American Orthopedic. Follow the steps below to ensure all necessary information is included for processing your order.

Follow the steps to successfully complete your order form.

1. Click the 'Get Form' button to obtain the download link for the TORCH Walker Order Form and open it in your preferred document editor.
2. Enter the facility name in the designated field at the top of the form. This should reflect the name of the facility placing the order.
3. Insert the purchase order number in the corresponding box, followed by the date you are filling out the form.
4. Fill out the shipping address fields, including the street address, city, state, and zip code. Also, provide the contact's telephone number and title.
5. In the billing address section, complete the same fields as above for the billing information, ensuring accuracy for successful transaction processing.
6. Indicate whether you would like to receive a fax acknowledgment at the billing or shipping address by checking the appropriate boxes.
7. Provide the patient's name and their activity level by selecting one of the options: Non Ambulatory, Low/Transfer, or Medium.
8. Record the patient's occupation, age, weight, and height in the provided fields to complete the personal information section.
9. Choose the style and color of the product from the options given. Ensure to specify any additional requirements such as currently wearing custom shoes.
10. Select the closure type: all laces, all Velcro, or hooks, and specify the height and inclusion of any other features like the reinforced anterior shell tongue.
11. If applicable, detail any cast modifications required, and provide instructions or special requests in the 'special instructions' section.
12. Review your information for accuracy and completeness to avoid delays. Once finalized, save the document, and you may choose to download, print, or share as needed.

Complete your documents online now for a seamless ordering experience.