Access Legacy PDF work order. Legacy form will be accepted until Nov 1st.
Please do not print the Review page.
Scroll to the bottom, hit Complete and then download the work order.
Please enter a correct Fab PCC#
Daily HFN Capacity
The Scan Upload is available at the end of the Form.
The Cast Measurement fields are available at the end of the Form.
Due to the scan being modified, the Alignment and Modification options will not be displayed.
Any Alignment or Modification changes can be called out in the Notes section.
GUIDANCE
• Any brace with a flat toe plate will require shoe work to function• Any brace without a contoured foot plate/toe ramp is prone to fail
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NEUTRAL is the Tibia perpendicular to the floor based on Heel Height.
Final Ankle Position:
Set the Ankle in Degrees* ° of Dorsiflexion Plantarflexion*
Final Forefoot Position:
Set the Forefoot in Degrees* ° of Varus Valgus*
Set the Forefoot in Degrees* ° of External Internal* Rotation.
Final Hindfoot Position:
Set the Hindfoot in Degrees* ° of Inversion Eversion*
Standard Mods include:
Posting/Wedging:
{intrinsicHeel990} Intrinsic Heel Skive was selected.
Finished Plastic Thickness will be within 10% of the requested thickness.
PLEASE SELECT DIFFERENT OPTIONS FOR TRANSFER PAPERS.
Additional Padding
Your order will be sent to CDC after submission along with the Scan. No futher action is needed.
(No Entry required at the LEO portal)