PATIENT INTAKE FORMS
Your journey with Freedom Prosthetics & Orthotics begins with us getting to know you. You have the ability below to submit your initial paperwork electronically or you can print the forms and bring them to your initial
evaluation. Please click on “New Patient Intake Form” to download and complete our new patient paperwork.
We also have a form that you can complete, print out and bring with you or email to: email@example.com
Be ready for your first visit!
What to Bring to Your First Appointment:
Valid Photo ID
Insurance Card (s)
Orthotics: Bring the shoes you wear on a daily basis
Prosthetics: Please wear clothing that will allow us to easily access your prosthetic. We do provide disposable shorts if needed.