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  • Legacy forms will be accepted until Sep 1st. Access Legacy PDF work orders:

    UCB  Solid
    Low Tone SMO Articulated
    Toe Walker SMO Floor Reaction Top Entry
    SMO Floor Reaction Rear Entry
    Static Night Stretching Dynamic Night Stretching

  • Legacy form will no longer be accepted.

  • - Please create a new account to use the Save Draft feature - 

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  • PED ORTHOTICS - {deviceType998}
    Intake Information

  • Please do not print the Review page.

    Scroll to the bottom, hit Complete and then download the work order. 

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  • PED ORTHOTICS - {deviceType998}
    Patient Information

    • Patient Information: 

    • Build by Measurement (No cast required) available for patients under 81 lbs/37 kg. 

    • Submission Type:

      • Plaster Cast: Negative or Positive

        Please include a printed Work Order with the cast when shipping.

    • Your order will be sent to HFN Orlando after submission.

  • PED ORTHOTICS - {deviceType998}
    Configurator

    • Measurements 
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    • Alignment 

    • Final Left Ankle Position:

    • Set the Left Ankle in   *   ° of      *        

    • Final Right Ankle Position:

    • Set the Right Ankle in   *   ° of      *        

    • Final Left Forefoot Position:

    • Set the Left Forefoot in   *   ° of      *        

    • Final Right Forefoot Position:

    • Set the Right Forefoot in   *   ° of      *        

    • Modifications/Trimlines 
    • Image-1042
    • Image-1043

    • Forefoot Trimline

    • Material/Design 

    • Special Order Transfer Papers can increase device turnaround time.

    • PLEASE SELECT DIFFERENT OPTIONS FOR TRANSFER PAPERS.

    • Finishing 

    • The Solid Positional AFO is a fully lined brace.

    • Add ons 

  • PED ORTHOTICS - {deviceType998}
    Notes

  • Your order will be sent to HFN Orlando after submission.

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