CUSTOM MINNESOTA BOOT AFO ORDER FORM 2025

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  1. Click ‘Get Form’ to open the CUSTOM MINNESOTA BOOT AFO ORDER FORM in the editor.
  2. Begin by entering your Customer ID, Order Date, and Date Needed at the top of the form. This information is crucial for processing your order efficiently.
  3. Fill out the Billing Information section with details such as Facility, Contact Name, Address, City, State, Phone, Fax, and Email. Ensure accuracy to avoid any shipping issues.
  4. If your Shipping Information is the same as Billing, simply check the 'Same as Billing' box. Otherwise, provide the necessary shipping details including Facility and Contact information.
  5. In the Patient Information section, enter the patient's Last Name, First Name, Age, Weight, Height, and select Male or Female. Include any Diagnosis and Special Instructions that may be relevant.
  6. Proceed to Fabrication Instructions where you can specify Sole Style and Type of AFO. Make sure to select options that best suit your needs.
  7. Complete any additional sections like Cast Corrections and Additions if applicable. Note that some selections may incur extra charges.
  8. Finally, review all entered information for accuracy before submitting your order through our platform.

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