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Ortho-Tec Medical, Inc.
Order Today!
Tel: 1-888- 616-9811
Fax:: 1-888-616-9812
Forms
Norton Scale
Braden Scale
Written Order Prior to Delivery & Statement of Ordering - Group I Support Surface
Group II Support Surface Prescription Form
Durable Medical Equipment and Medical Supplies - General Prescription and Medical Necessity Review Form
Detailed Written Physician Order Knee Orthosis - L1831
Detailed Written Physician Order Knee Orthosis - L1832
Detailed Written Physician Order Knee Orthosis - L1847
Detailed Written Physician Order - Ankle Foot Orthosis (Multi-Podus) L4396
Detailed Written Physician Order - Wrist-Hand-Finger Orthosis L3807
Diabetes Diagnosis Codes
Statement of Certifying Physician for Therapeutic Shoes
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