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RESOURCE CENTER

 

Ordering/Returns:
Shoe Order Form
Custom Insert Order Form
Shoe Mod Order Form
Return Form
Lab Rework Form


Medicare/Billing:
Statement of Certifying Physician
Prescription for Therapeutic Footwear
Documentation of Initial In-person Fitting
Documentation of In-Person Fitting at Time of Dispensing
Delivery Receipt and Authorization for Payment
DMEPOS Supplier Standards
Break In and Care Instructions
Cover Letter for PCP
Beneficiary Complaint Log

Compliance:
Compliance Program
Code of Conduct

PDAC Letters:
Shoes: 44, 49, 55, 56
Shoes: 33, 88, 81
Shoes: 77, 45
Shoes: 22, 23
Shoes: 19, 51, 75, 97, 67
Shoes: 30, 96, 52, 72, 64
Shoes: 38, 31
Shoes: 74, 46
Shoes: 66, 63
Shoes: 90
Shoes: 11
Shoes: 12
Shoes: 28

Shoes: 50

Shoes: 91
Inserts: A5512
Inserts: K0903
Inserts: L5000

Account Items:
Account Setup Agreement
MAP Policy
Display Lease Agreement

Collateral:
Catalog

Videos:
Using Our Scanner App
Taking a Foam Impression
Heat Molding Inserts
Measuring a Patient's Feet

Other:

Quick Start Guide
Scanner App Instructions
Training Quiz
Shoe Fitting Form
Anodyne Supplier Set Up Form
Foot Measuring Device Instructions
Full Fitting Center Display Instructions
Counter Top Display Instructions
Single Shoe Display Instructions

 

 

RESOURCE CENTER

 

Ordering/Returns:
Shoe Order Form
Custom Insert Order Form
Shoe Mod Order Form
Return Form
Lab Rework Form


Medicare/Billing:
Statement of Certifying Physician
Prescription for Therapeutic Footwear
Documentation of Initial In-person Fitting
Documentation of In-Person Fitting at Time of Dispensing
Delivery Receipt and Authorization for Payment
DMEPOS Supplier Standards
Break In and Care Instructions
Cover Letter for PCP
Beneficiary Complaint Log

Compliance:
Compliance Program
Code of Conduct

PDAC Letters:
Shoes: 44, 49, 55, 56
Shoes: 33, 88, 81
Shoes: 77, 45
Shoes: 22, 23
Shoes: 19, 51, 75, 97, 67
Shoes: 30, 96, 52, 72, 64
Shoes: 38, 31
Shoes: 74, 46
Shoes: 66, 63
Shoes: 90
Shoes: 11
Shoes: 12
Shoes: 28

Shoes: 50

Shoes: 91
Inserts: A5512
Inserts: K0903
Inserts: L5000

Account Items:
Account Setup Agreement
MAP Policy
Display Lease Agreement

Collateral:
Catalog

Videos:
Using Our Scanner App
Taking a Foam Impression
Heat Molding Inserts
Measuring a Patient's Feet

Other:

Quick Start Guide
Scanner App Instructions
Training Quiz
Shoe Fitting Form
Anodyne Supplier Set Up Form
Foot Measuring Device Instructions
Full Fitting Center Display Instructions
Counter Top Display Instructions
Single Shoe Display Instructions