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Procedure Consent Form
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In-Office Procedure Consent
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Custom Orthotics Casting (TOG)
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Orthotics Casting Consent Form
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Orthotic Consent Form
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Medicare ABN-Orthotics
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Picking Up Orthotics Today
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Orthotic Pick Up Confirmation
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ORDERING Diabetic Shoe and Insert (Anodyne)
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ORDERING DM Shoe and/or Inserts
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PICKING UP Diabetic Shoe and Insert (Anodyne)
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PICKING UP DM Shoe and/or Inserts
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Richie Brace Order/Pickup Receipt
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Custom AFO Casting or Pick Up Receipt
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Xray Consent
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Xray Consent
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DME Receipt (Boots, Crutches)
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OTC DME Receipt
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Medicare ABN-DME
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