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DIABETIC FOOTWEAR PRESCRIPTION FORM Patient Name: ID # DOB: / / Dx Indicate ICD10 Code: E . (E08.9 E10.8) INSURANCE REQUIRES ICD10 CODES TO BE INCLUDED IN PATIENT RECORD Patient must have at least.

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Diabetic shoes are designed to overcome these problems, but they must be prescribed by your doctor and fit by a podiatrist, orthotist or pedorthist.

Wear Leather Shoes: The best shoes for diabetes are made from leather. Leather is soft, flexible and durable. If you have any foot problems, leather is less likely to rub and cause blisters.

If you are diabetic and have Medicare and Medicaid, you could be eligible for a pair of shoes and 3 pairs of moldable insoles. It is that easy! All you have to do is bring in your insurance cards and a prescription from your doctor. We will contact your doctor for any additional information we need for billing.

How Individuals Qualify history of partial or complete foot amputation. history of previous foot ulceration. history of preulcerative callus. nerve damage because of diabetes with signs of problems with calluses. poor circulation. foot deformity.

Many people ask us if diabetics are allowed a free pair of shoes. Unfortunately, this is not true. However, qualifying diabetics with Medicare are entitled to one pair of shoes and three shoe inserts per calendar year with little to NO COST. (deductibles and co-insurance may apply).

All you have to do is bring in your insurance cards and a prescription from your doctor. We will contact your doctor for any additional information we need for billing. The process for getting shoes is very simple. First our diabetic shoe fitter will take a measurement of both feet for a personalized fit.

This practitioner must be knowledgeable in the fitting of diabetic shoes and inserts. The prescribing practitioner may be a podiatrist, M.D., D.O., physician assistant, nurse practitioner, or clinical nurse specialist.

Therapeutic or Diabetic Shoes are shoes that offer support and protection for your feet and reduce the risk of skin breakdown, primarily in cases of poor circulation, neuropathy and foot deformities. The interior of the shoes are usually made with soft material and with no protruding stitching.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
DIABETIC FOOTWEAR PRESCRIPTION FORM - Foot Performance ...
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