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Prescription form - BioPed 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the patient’s name and date at the top of the form. Ensure accuracy as this information is crucial for identification.
  3. In the Diagnosis section, select relevant conditions affecting the foot, ankle, or knee. You can check multiple boxes if necessary.
  4. For Treatment options, indicate your preferences for orthotics and insoles by selecting from custom-made options or off-the-shelf products.
  5. Fill in any additional instructions or specific needs in the Further Instructions section to guide treatment.
  6. Finally, ensure that the referring professional signs and stamps the form at the bottom before submission.

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Clinical research studies have shown that podiatrist-prescribed foot orthotics decrease foot pain and improve function. Orthotics typically cost more than shoe inserts purchased in a retail store, but the additional cost is usually well worth it.
Orthotics refers to custom-made shoe inserts prescribed by a licensed doctor of podiatric medicine, an osteopathic doctor, or a medical doctor after a medical examination and diagnosis. Orthotics are designed to accommodate or correct an abnormal or irregular walking pattern.
While OTC orthotics are pre-made and designed to fit a wide range of foot types, custom orthotics are uniquely tailored to match the exact contours of your feet. Dr.
There are many types of custom orthotics, and they can cost anywhere from $300 to $800. Semi-custom orthotics cost between $60 and $300, and basic off-the-shelf inserts are available for as little as $10 to $20. Some health insurance plans wont pay for custom-made orthotics.
Since 1981 BioPed Footcare Orthotics has proudly helped more than 1 million Canadians. We provide custom orthotic solutions, custom compression solutions, fitted bracing solutions, fitted and custom footwear, and medical footcare solutions, including surgical and non-surgical solutions.

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Prescription foot orthotics are custom-made shoe inserts designed for the individual wearer. They are medical devices designed to correct biomechanical imbalances, allowing for normal function and alignment of the foot.
If orthotics are needed, your podiatrist will capture a three-dimensional image of each foot. Those images, as well as any measurements obtained by your podiatrist, are used to create a set of unique foot supports that will improve your foot movement and lead to more comfort and mobility.
Your foot and ankle specialist (podiatrist) may recommend you try an over-the-counter orthotic device if you have mild symptoms related to your condition. If symptoms persist or worsen, they may prescribe a more advanced option, like custom orthotics.

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