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• Pedorthics
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• how to order
• see models

Forms for first appointment / new patient

 

Patient_Information_Sheet.pdf

Medical History.pdf

Financial Agreement & NPP.pdf

AOB & Authorization for Release Medical Info.pdf

Home | Prosthetics | Orthotics | Pedorthics | Stability Boots | Case Studies | Links | HIPPA | About Us | Contact Us
1260 15th St. Suite 1402, Santa Monica, CA 90404 | Phone: (310) 458-9648, (800) 444-7648 | Fax: (310) 451-2002, (800) 798-2019 |
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