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New Patient Form - pdf
Patient Authorization Form - pdf

Print out these forms and bring them in with you at your first visit.

The forms on this page are in PDF Format. They can be viewed using the Free Adobe Acrobat which you can download here.

Please read our Legal Statement

 
 
MEDICARE DIABETIC PROGRAM
ORTHOTICS AND BRACES

SHOCKWAVE THERAPY

    patient information
physician information
  Do you suffer from chronic
heel pain?

Learn more about a new
treatment that can help:
Extracorporeal Shockwave
Therapy


LEGAL STATEMENT