Please do not print the Review page.
Scroll to the bottom, hit Complete and then download the work order.
Access Legacy PDF work order. Legacy form will be accepted until Nov 1st.
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.
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Making changes prior to definitive fabrication is not recommended.
Transverse Changes:
Internally Rotate Foot Externally Rotate Foot* * degrees from current position.
Coronal Changes (Angular):
Abduct Socket Adduct Socket* * degrees from current alignment.
Coronal Changes (Linear):
Inset Foot Outset Foot* *in from current position.
Inset Foot Outset Foot* *cm from current position.
Sagittal Changes (Angular):
Flex Socket Extend Socket* * degrees from current alignment.
Sagittal Changes (Linear):
Shift Foot Anterior Shift Foot Posterior* *in from current position.
Shift Foot Anterior Shift Foot Posterior* *cm from current position.
Global modifications will affect the distal end of the model.
Lock not provided.
Pin not provided.
Finished Plastic Thickness will be within 10% of the requested thickness.
Gap Design (2 Posterior Gaps) will be Frame Mounted at the Posterior Proximal aspect of the socket.
Supracondylar will be Frame Mounted at the Midshaft on the {hingeLocation} side.
Your order will be sent to CDC after submission along with the Scan. No futher action is needed.
(No Entry required at the Sharepoint portal)