Get Nc Delphi Ortho Kafo/hkafo Orthometry Form 2005-2025

Filling out the NC Delphi Ortho KAFO/HKAFO Orthometry Form accurately is essential for ensuring that individuals receive the appropriate orthotic support. This guide will walk you through the process of completing the form online, providing clarity on each section and field.

Follow the steps to fill out the form accurately

1. Click ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Begin by entering today's date in the provided space. This helps keep track of when the form was completed.
3. Fill in the patient's name and relevant information, including their age, sex, and height. This section is crucial for personalizing the orthotic design.
4. Provide the patient's address by filling in the street, city, state, and zip code. Accurate address information is necessary for communication and delivery.
5. Enter the diagnosis that justifies the need for the KAFO/HKAFO. This informs the orthotist of the specific medical requirements.
6. Complete the section dedicated to the orthotist’s information, including their name, phone number, and the purchase order number if applicable.
7. Indicate the patient's weight, as this can impact the orthotic fitting and design process.
8. Fill in the measurements section, choosing either inches or centimeters as the unit of measurement. Ensure that each measurement is taken accurately.
9. Record the ankle and knee alignments, selecting from the options provided (e.g., varus, valgus, etc.). Be sure to note whether these conditions are flexible or rigid and include the corresponding angles in degrees.
10. Lastly, confirm the heel height, which is an important factor in the orthotic design. Double-check all entries for accuracy.
11. Once all fields are completed, save your changes. You will have the option to download, print, or share the form as needed.

Complete your NC Delphi Ortho KAFO/HKAFO Orthometry Form online today for timely processing.