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Get Rx Order Form - Activaided Orthotics
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How to use or fill out the Rx Order Form - ActivAided Orthotics online
Filling out the Rx Order Form for ActivAided Orthotics online is a straightforward process designed to facilitate your order efficiently. This guide will walk you through each section of the form, ensuring that you provide all necessary information correctly.
Follow the steps to complete your Rx Order Form online.
- Press the ‘Get Form’ button to retrieve the Rx Order Form - ActivAided Orthotics and open it for editing.
- Fill in the 'Bill To' section. Enter the facility name, your contact name, purchase order number, phone number, email, address, city, state, and zip code.
- In the 'Patient Information' section, provide the patient's name, age, height, weight, and physician's name.
- Next, complete the 'Ship To' section. Include the recipient's name, phone number, address, city, and state.
- Refer to the male or female sizing chart based on the patient's gender. Select the appropriate waist size and height to determine the product size needed.
- If the patient does not fit into any standard sizes listed, make a note to contact ActivAided Orthotics for custom device options.
- Use the 'Notes and Special Instruction' section to provide any additional information or specific requests regarding the order.
- Once all fields are completed, you can save the changes, download, print, or share the form as necessary.
Complete your Rx Order Form online today for a seamless ordering experience.
A statement of work (SOW) is a document that provides a description of a given project's requirements. It defines the scope of work being provided, project deliverables, timelines, work location, and payment terms and conditions.
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