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This is a simple referral form that could be filled out by your medical professional to come see us here at Locomotion Orthotics. Another simple method is for your medical professional to fax a Durable Medical Equipment Order from their respective EMR systems.
Please feel free to print or download this PDF to use at your discretion. Reminder, for anything Locomotion Orthotics custom fabricates or customizes we will need an order from a medical professional.
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