Orthotic prescription form 2025

1. Click ‘Get Form’ to open the orthotic prescription form in the editor.
2. Begin by filling out the 'Patient Information' section. Enter the patient's name, clinic, address, and phone number. Ensure all details are accurate for effective communication.
3. Next, complete the 'Account Information' and 'Technician' sections. This includes entering the lab number and technician's initials to track the prescription accurately.
4. Proceed to the 'Biomechanical Examination Analysis'. Carefully assess and record details such as arch height, first ray motion, and any specific conditions like hallux limitus or abducto valgus.
5. In the 'Variations for Top Covers and Colours', select your preferred materials and colors for the orthotics. Make sure to check both left and right options as needed.
6. Finally, review all entries for accuracy before saving or sending your completed form directly from our platform.

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