PRESCRIPTION / ORDER
For Doctors Only
forms will be mail to you upon request, must have an account
with us. Some samples of materials and devices are available,
contact us for more info. Please click on the contact us
button on the left. To open your account is easy, only fill
up one of our prescriptions forms and send it to us with
your information and the cast or bio-foam of your patient's
feet (for custom orthoses).
Here you can
print or view our Prescription forms in PDF format, You will
need to have Adobe Reader on your computer or download it
for free at www.adobe.com.
Many web browsers can display the form.
Click the links
below to open or save our forms for New custom orthotics,
Adjustment form, view our table of shoe sizes used in
our laboratory and also you can view a tutorial about the
prescription forms using the Adobe Reader or PDFxviewer program.
How to save the PDF form
Precision RxS1-flat form
Also you can
save the blank form by right-click the link and choose
the Save Target As or Save Link As option
(PDF). Fill it up and save it with a new name as described
on the guide " How to save the PDF form"