Get Shadow Afokafo Orthometry Form - Becker Ortho

Filling out the SHADOW AFO/KAFO ORTHOMETRY FORM - Becker Ortho online can seem daunting, but with clear guidance, you can complete it efficiently. This guide provides step-by-step instructions to help you understand each section of the form and ensure that all necessary information is accurately provided.

Follow the steps to successfully complete your orthometry form.

1. Press the ‘Get Form’ button to acquire the form and open it in your editor of choice.
2. Enter today's date in the appropriate field.
3. Fill in the patient's name and the facility where they will receive care.
4. Provide the patient's age, street address, city, state, zip code, and contact number.
5. Select the patient's activity level and diagnosis from the designated fields.
6. Specify the patient's height and weight.
7. Indicate the name of the orthotist and the purchase order number if applicable.
8. Fill out the delivery date required for the orthosis.
9. In the measurements section, specify heights of bands required for the orthosis in inches or centimeters.
10. Select the type of orthosis (AFO or KAFO) and specify details such as thigh trim and footplate trims.
11. For ankle joint options and fit, select your preferences according to the patient's needs.
12. Complete the options for knee joints and footplates by selecting the type, size, and additional customizations.
13. Review the warranty information and diagnostic check sections, signing where indicated.
14. Once all necessary fields are completed, you can save changes, download, print, or share the form according to your requirements.

Begin filling out the SHADOW AFO/KAFO ORTHOMETRY FORM online today to ensure timely processing of your orthotic needs.