Ortho-Tec Medical Inc.
  • About
  • OrthoCare Therapy Support
  • Clinical Algorithm
  • Orthotics & Positioning Devices
  • Wheel Chair Seating & Positioning
  • Fall Prevention
  • Contact
    • In-Service Sign In
  • Order Form
  • About
  • OrthoCare Therapy Support
  • Clinical Algorithm
  • Orthotics & Positioning Devices
  • Wheel Chair Seating & Positioning
  • Fall Prevention
  • Contact
    • In-Service Sign In
  • Order Form
FREE CLINICAL TRIALS AVAILABLE ON SELECT PRODUCTS
Picture

    Your Contact Information

    Name of the person filling out this form.
    Phone Number of the person filling in this form
    Email of the person filling out this form.
    The name of the Facility that you represent.

    Patient Info

    Name of the facility where the patient is located (if applicable)
    The address of the where the patient is located.
    Patient's native language
    Name of the patient's primary care physician,
    Name of the patient's responsible party

    Insurance Info

    Requested Products 

Submit

Call Us (888) 616-9811

Fax (888) 616-9812

Picture

Home

About

Contact

Order Form

Specialty
​Support

Orthotics
& Splints

Wheelchair
​Seating & Position

Fall
​Prevention

Copyright © 2018 Ortho-Tec Medical Inc. All Rights Reserved
  • About
  • OrthoCare Therapy Support
  • Clinical Algorithm
  • Orthotics & Positioning Devices
  • Wheel Chair Seating & Positioning
  • Fall Prevention
  • Contact
    • In-Service Sign In
  • Order Form