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Order Form Explained

Simple . understandable . Easy to use

Our prescription form is a simple and easy-to-use form that allows you to set and forget! There's no need for comments or explanations because everything you need is in the form. All you have to do is submit it, and your orthotics will be delivered exactly as you want them!

Podiatrist Details 

​This is where you input your own details to ensure the devices are delivered to the correct location and that we can contact you if required.

Heel Cup and Arch Profile 

These fields determine the overall shape of your device including the height of the heel cup and the shape of the arch.

Shell Thickness and Modifications

With the ability to adjust shell thickness and choose from a selection of modifications, the possibilities for customising your devices are endless!

Order Form Example.PNG

Patient Details 

​This is where you fill out the patient's personal information, ensuring all spelling is correct as this will be printed on the bottom of the orthotic.

Degree Of Correction

Orthotics are not a one-size-fits-all solution, and the degree of correction should be tailored to the individual's specific needs and the underlying cause of their foot problems.

Top Cover

​Consider your patient's shoe types and levels of activity to determine the perfect top cover. Between our 3mm Lunasoft and 4mm Rebound, we cover all of your cushioning and shoe fit needs!

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