Foot Orthotics
Order Form Guide
Professional Foot Orthotics Order Form
Professional Foot Orthotics Order Form
Professional Braces Order Form
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- Page 2
- Extensions
- Toe Filler
Toe Filler
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Toe Filler
Rx form option box:
Partial foot toe filler of Myolite, EVA and Plastazote material
FUNCTION:
• Stabilizes anatomical segments adjacent to
amputations
CLINICAL INDICATION:
• Amputation
Toe filler is a wedge buttress of EVA, Myolite, and Plastazote that sits on the superior forefoot area of a device’s top cover. It conforms to and occupies the negative space from a patient’s amputation(s).
Note: Submission of patient’s shoe with impression is required for optimal fitting.
