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New Patients

1

Patient Info Form

Our patient information form is a mandatory medical form for each patient. This medical form's purpose is to collect the patient's information and demographics before their appointment.

2

What to Bring to Your Evaluation

  1. Copy of your insurance information.

  2. Physician's prescription (if you already have one).

  3. List of your current medications.

  4. Names and numbers of your referring physician or therapist you are currently working with.

  5. Your current prosthesis or any older prosthesis you would like us to look at.

  6. Loose fitting shorts or appropriate clothing.

3

Prosthetic Fitting Process

We are dedicated to making your experience as comfortable and pleasant as possible. Whether you are a new amputee or have worn a prosthesis for many years, this guide will give you a good understanding of what to expect during the prosthetic fitting process.

© 2023 District Amputee

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