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We must have a doctor’s order to provide your child with an orthotic device. The prescription must come from your child’s doctor, we cannot write one for you. If you do not already have a detailed prescription, your child’s physician can forward a consultation request to our office. If you are unsure how to proceed, please contact our office to discuss your needs.

Navigating the insurance process can be complicated, and we are here to help you. Forms and information you will need for your first visit are listed below. If you have any questions, please call us at 413-785-4047.

Required forms and medical documentation for your child’s first visit:

In addition to selecting your child’s prosthetist, you will need to understand insurance coverage. We appreciate that this can be a complicated process, and we are here to help you. Forms and information you will need for your child’s first visit are listed to the side. Patients should also contact our office to determine whether a medical release form should be needed. If you have any questions, please call us at 413-785-4047.

Due to constantly changing medical insurance plan requirements, it is advisable to contact our office for the most up-to-date information.

Consent Form