Copy to come about all the variety of forms we provide. Click below to obtain the documents you need…
Diabetic Shoe Bill
Medicare created the Therapeutic Shoe Bill to help prevent foot problems for diabetics. We at The Fitting Place want to assist you with taking advantage of that benefit. We have certified pedorthists on staff to make sure you get the fit you need. If your doctor has recommended diabetic shoes for you there is paper work required to meet Medicare requirements. Before you come by the store, you may want to have your doctor fill out the attached forms and send us your medical notes from most current diabetic management office visit. The forms need to be filled out by the MD or DO that manages your diabetes and needs to be completed before we can fit you in your shoes. You may come by our store and pick up a copy of the form or you can print it yourself by clicking below. If you have questions about the Therapeutic Shoe Bill, give our staff a call and we will be happy to assist you.
Additional forms are listed below.
Letter of Medical Necessity - AFO
Dear Staff-ROI Form
Form to come
Foot and Ankle Prescription Form
Form to come…
Instructions for AFO Medical Notes
Notes to come…