Get Minnesota Boot Custom Afo Order Form - Tillges Technologies

Filling out the Minnesota Boot Custom Afo Order Form from Tillges Technologies is an essential step in ensuring that the specific needs of the user are met accurately and efficiently. This guide will provide you with clear, step-by-step instructions to help you complete the form online with confidence.

Follow the steps to successfully complete your AFO order form online.

1. Click ‘Get Form’ button to acquire the Minnesota Boot Custom Afo Order Form and open it in the designated editor.'
2. Begin by filling out the order date and date needed fields at the top of the form. These dates are crucial for processing your order timely.
3. In the billing information section, provide the facility name, contact person's name, address, city, state, phone, fax, and email. Make sure all details are accurate to avoid issues with communication.
4. If the shipping information is the same as the billing, select the ‘Same as Billing’ option. Otherwise, fill out the shipping information fields with the necessary details.
5. In the shipping instructions section, select the preferred shipping method by checking one of the options: Next Day Air, 2nd Day Air, 3rd Day Air, Ground, or Local/Hand Delivery.
6. Proceed to fill out the patient information section, including the last name, first name, age, weight, and height. Ensure the correct gender option (Male or Female) is selected.
7. Indicate the limb affected by checking the appropriate designation: left (LT), right (RT), or bilateral (BIL). Then provide the diagnosis and any special instructions applicable.
8. In the fabrication instructions section, select the sole style and type of AFO required. Specify any cast corrections or additional materials needed based on the options provided.
9. Complete any necessary additions specified in the form under the 'Additions' section.
10. Once all fields are filled out accurately, review your entries for correctness. You can then save changes to the document, download it, print, or share the completed form as needed.

Complete your Minnesota Boot Custom Afo Order Form online today to ensure timely and accurate processing!