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REFERRAL GUIDELINES

  1. To refer a potential medical professional, including podiatrist, physical therapist, chiropractors, orthopedist or other medical professional please complete this online form and click submit.   If you prefer to print this form and fax or email it to us, please click here.
  2. We will send out an OrthoSleeve retail referral package, complete with the following.
    • Introductory Letter
    • OrthoSleeve Catalog
    • OrthoSleeve Prescription Pad
    • OrthoSleeve Measuring Tape
    • OrthoSleeve Laminated Quick Reference Sheet