Get Stride Kafo Orthometry Form - Becker Orthopedic

The STRIDE KAFO orthometry form is a crucial document used in designing customized orthotic devices. This guide provides clear instructions on how to accurately complete the form to ensure that the needs of the patient are fully met.

Follow the steps to effectively complete the STRIDE KAFO orthometry form online.

1. Press the ‘Get Form’ button to access the form and open it in the appropriate editor.
2. Begin by entering today’s date in the designated field.
3. Fill in the facility’s name where the orthosis will be issued.
4. Input the patient’s full name along with their residential address, including street, city, state, and zip code.
5. Record the patient’s phone number to maintain contact for any follow-ups.
6. Specify the patient’s sex in the appropriate field.
7. Document the primary diagnosis of the patient.
8. Fill in the name of the orthotist responsible for the prescription.
9. Take the necessary measurements as specified, entering height and weight in inches or centimeters as appropriate.
10. Complete the finished lateral and medial height measurements, if applicable.
11. Indicate the activity level of the patient as it relates to their mobility.
12. Provide the delivery date for the custom orthotic device.
13. Fill out all measurements under diameters and circumferences, ensuring precise entries for waist line, pelvic line, trochanter, ischial tuberosity, proximal thigh, distal thigh, knee axis, fibular neck, calf, and ankle.
14. Review any contraindications which may influence the design and usage of Stride stance control systems.
15. Fill in the necessary fields for selections regarding components like plastic type, liner, ankle joint options, and any add-ons.
16. Confirm all entries and check for accuracy before saving, downloading, printing, or sharing the completed form.

Start completing your STRIDE KAFO orthometry form online today!