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Transtibial Prosthesis Order Form

Transtibial Prosthesis Order Form 2025

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The document is a Transtibial Prosthesis Order Form used for ordering custom prosthetic devices. It includes sections for patient and shipping information, detailed measurements, socket fabrication instructions, component selection, and special instructions. The form emphasizes the importance of accurate measurements for device accuracy and outlines guidelines for custom fabrication, including costs associated with Otto Bock parts and turnaround times.

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