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Click ‘Get Form’ to open the KAFO/HKAFO ORTHOMETRY FORM in the editor.
Begin by entering today's date at the top of the form. This helps track when the assessment was made.
Fill in the patient’s name, facility, age, sex, and height. Accurate patient information is crucial for effective orthotic management.
Provide the patient's address details including street, city, state, and zip code to ensure proper communication.
Document the diagnosis clearly to inform treatment decisions. This section is vital for understanding the patient's needs.
Enter orthotist details and delivery date to maintain accountability and scheduling.
Complete the phone number and PO number fields for easy reference and follow-up.
In the measurements section, select either inches or centimeters based on your preference before filling in ankle and knee measurements along with any relevant degrees for alignment issues.
Finally, review all entries for accuracy before saving or sharing your completed form online.

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