Access Legacy PDF work order. Legacy form will be accepted until Aug 15th.
Legacy form will no longer be accepted.
- Please create a new account to use the Save Draft feature -
Please do not print the Review page.
Scroll to the bottom, hit Complete and then download the work order.
HFN Rocky Hill (Cromwell) has relocated! Our new address is:31 Inwood Rd, Rocky Hill, CT 06067
Please enter a correct Fab PCC#
Bilateral Symmetrical:
Submission Type:
Daily HFN Capacity
{requestedInoffice}{requestedInoffice1310}{requestedInoffice1311}{requestedInoffice1312}
Clinicians can still coordinate special in-office requests by emailing:HFN_Hypercare@hanger.com
Tuning Principles can be applied to Solid AFOs.
Casting block Height and Toe Ramp Angle measurements are recommended.If Heel Wedging alone is required, please proceed to the next page.
Final Ankle Position (Ankle Angle):
Set the Ankle in Degrees* ° of Dorsiflexion Plantarflexion*
Selected unit: {pleaseIndicate910}
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NEUTRAL is the Tibia perpendicular to the floor based on Heel Height.
Final Ankle Position:
If "As Casted" Forefoot Alignment is required, please select "Other" and provided the as casted alignment.
Final Forefoot Position:
Set the Forefoot in Degrees* ° of Varus Valgus*
Final Hindfoot Position:
Set the Hindfoot in Degrees* ° of Inversion Eversion*
Standard Mods include:
{intrinsicHeel990} Intrinsic Heel Skive was selected.
Finished Plastic Thickness will be within 10% of the requested thickness.
PLEASE SELECT DIFFERENT OPTIONS FOR TRANSFER PAPERS.