Please contact us for the following:

  • Marketing Material
  • Order RX pads

Insurance Information

Diabetic shoe forms to be completed by a physician:

  • Diabetic Foot Assessment (50k)
  • Statement for Therapeutic Shoes (96k)
  • Patient / physician diabetic shoe policy information:

  • Checklist for Therapeutic Shoes (92k)
  • Diabetic Shoe Policy (103k)
  • Patient Forms:

  • Patient Information Form (129k)
  • Patient Medical History Form (197k)
  • Survey (61k)
  • Amputee Mobility Predictor