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  • Orthotic Prescription Form

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Custom Design Orthotic Prescription Form Patient Details Name: PO# Podiatrist Details Name: Age: Size: Sex: Address: Footwear Type: Phone: Date: Type Traditional: Concave Wedge: Wedge: Court: Hook.

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Questions & Answers

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Only a doctor or a podiatrist can diagnose and prescribe foot orthotics.

Orthotists are specifically trained to work with medical supportive devices, such as spinal or knee braces. Prosthetists are specifically trained to work with prostheses, such as artificial limbs and other body parts. Some orthotists and prosthetists construct devices for their patients.

Many people who could not take a step without pain are walking normally and living more active lives because of orthotics. Anyone can provide mass-produced inserts, but only doctors are trained and licensed to diagnosis medical conditions and prescribe orthotics.

Custom-made orthotics can only be prescribed by physicians, podiatrists and chiropodists. They diagnose whether an orthotic would be beneficial to your situation. Your custom-made orthotics can be dispensed by a physician, podiatrist, chiropodist, orthotist or pedorthist.

There are several different types of orthotics that your physical therapist may use. Examples of orthotics that your PT may prescribe include: Ankle Foot Orthosis (AFO): This is a device that encloses the ankle and foot and does not extend above the knee.

Orthoses are medical devices that require a prescription and are custom-made by trained individuals.

An Orthotic Prescription involves assessing the patients bio-mechanics. Checking overall posture, structure, strength and range of motion in the legs and feet. It also involves reviewing your presenting symptoms and condition, reviewing your current footwear for fit, wear patterns and functions.

Physical therapists play a critical role in identifying the need for orthotics. The decision to use orthotics is based on the assessment of range of motion, foot alignment, voluntary control of movement, muscle tone, and functional level of the child.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232