Get Afo Orthometry Form Continued: - Delphi Ortho

This guide provides instructions on how to fill out the AFO Orthometry Form Continued: Delphi Ortho online. Whether you are familiar with orthotic forms or a first-time user, this step-by-step guide will assist you in accurately completing the form.

Follow the steps to successfully fill out the form.

1. Press the ‘Get Form’ button to access the AFO Orthometry Form Continued: Delphi Ortho and open it in the editor.
2. Begin by entering today's date at the top of the form. Next, fill in the patient's name, facility name, age, sex, and height.
3. Provide the patient's address details, including street, city, state, and zip code.
4. Enter the diagnosis information, as well as the orthotist's name and the delivery date.
5. Include the orthotist's phone number and any relevant purchase order number.
6. Select the leg needing orthotic intervention, specifying 'Left', 'Right', or 'Bilateral'. Then, enter the patient's weight.
7. Choose the material for the orthotic—options include Thermoplastic or Metal and Leather. Then select the appropriate type of orthosis based on your requirement.
8. Complete the section for the Thermoplastic or Metal and Leather options, selecting the relevant specifications such as type, thickness, location, and flares.
9. If a cast requires correction, indicate whether to correct the cast or leave it as is. Proceed to fill out the liner options, selecting type and thickness.
10. Select the type of ankle joints as specified in the options provided, completing any necessary details regarding size.
11. Follow through with the posterior stops and range of motion selections, specifying the type and any additional instructions or specifications.
12. Complete the uprights section by choosing the material and finish, and inputting the size details accordingly.
13. Include any miscellaneous instructions or requirements as relevant to the orthosis.
14. Finally, indicate the trim lines and length of the foot as specified, ensuring that all fields are completed accurately.
15. Once all information is filled out, users may choose to save changes, download, print, or share the completed form as necessary.

Take the next step in your documentation process by completing the AFO Orthometry Form online now.