Get Knee Orthosis Custom Form - U.s. Orthotics

Filling out the Knee Orthosis Custom Form is essential for individuals seeking a custom knee orthosis. This guide provides clear and comprehensive instructions to navigate each section of the form confidently.

Follow the steps to complete your form accurately.

1. Press the ‘Get Form’ button to access the Knee Orthosis Custom Form and open it for editing.
2. In the patient name section, enter the full name of the individual requiring the custom orthosis.
3. Move to the customer information area where you will specify the patient’s gender by marking either M (male) or F (female), then fill in the height, weight, date, purchase order number, age, and diagnosis.
4. Complete the company section with the name of the entity requesting the orthosis, followed by the shipping information, including the recipient’s address and preferred shipping method along with the required delivery date.
5. In the knee specifications section, detail the material thickness, length, number of straps, and color preferences. Indicate your choice for a buttress, if applicable, and provide measurements for above and below the knee.
6. Specify the type of knee hinges desired, including measurements for different positions, along with any additional comments or specific requests.
7. After filling out all required fields, review the information for accuracy and clarity, making any necessary adjustments.
8. Finally, you can save your changes, download a copy, print the completed form, or share it as needed for submission.

Complete your Knee Orthosis Custom Form online today for a smooth experience.