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  • AFO Order Form v5.2

    Standard Fabrication 4 Business Days
    • Account Information  

    • Priority :             Morning Courier            Standard Courier        FedEx Ground          

    • Please be sure to submit your order when you have completed your order. There is no need to print for your records. Upon submission a PDF confirmation file will be emailed to you.

      We will not have a record or you order if you do not click the SUBMIT button.

      Questions or concerns please contact us at 708-237-4084.

    • Order Information  
    •  -  - Pick a Date
    •  -  - Pick a Date
    •  -  - Pick a Date
    •  -  - Pick a Date  :
    • 1. Device  



    • Minimum Modifications Include:

      • Squaring and leveling the plantar surface of the cast
      • Adding 3 mm (1/8") build-ups to the medial and lateral malleoli. This will increase the overall ML by 6 mm (1/4")
      • Adding 3 mm build-ups to the navicular and calcaneal tuberosity
      • Arches at the plantar surface are NOT modified
      • If the order calls for a medial/lateral tibial extension to control varus/valgus, a build-up is made to emphasis the extension side but still maintain a 6 mm build-up
      • If the order calls for a raised forefoot trimline, 3 mm will be added to the MTP joint that is being covered by plastic
      • Adding 3 mm build-ups will be added to any marked bony areas

    • Standard Modifications Include:

      • Squaring and leveling the plantar surface of the cast
      • Adding 5 mm (3/16") build-ups to the medial and lateral malleoli. This will increase the overall ML by 10 mm (3/8") 
      • Adding 3 mm (1/8") build-ups to the navicular and calcaneal tuberosity
      • Modifying the plantar surface of the cast to a depth of 6 mm (1/4")
      • If the order calls for a medial/lateral tibial extension to control varus/valgus, a build-up is made to emphasis the extension side but still maintain a 10 mm (3/8") build-up
      • If the order calls for a raised forefoot trimline, 3 mm will be added to the MTP joint that is being covered by plastic
      • Adding 3 mm build-ups will be added to any marked bony areas

    • Tone Reduction Modifications Include:

      • Squaring and leveling the plantar surface of the cast
      • Adding 5 mm (3/16") build-ups to the medial and lateral malleoli. This will increase the overall ML by 10 mm
      • Adding 3 mm (1/8") build-ups to the navicular and calcaneal tuberosity
      • Modifying the plantar surface of the cast to a depth of 3 mm
      • If the order calls for a medial/lateral tibial extension to control varus/valgus, a build-up is made to emphasis the extension side but still maintain a 6 mm (1/4") build-up
      • If the order calls for a raised forefoot trimline, 3 mm will be added to the MTP joint that is being covered by plastic
      • Adding 3 mm build-ups will be added to any marked bony areas

    • Clubfoot Modifications Include:

      • Squaring and leveling the plantar surface of the cast
      • Adding 2 mm  (1/16") build-up to the medial malleolus and 8 mm (5/16") to the lateral malleolus. This will increase the overall ML by 10 mm (3/8")
      • Add 3 mm build-ups to the calcaneal tuberosity
      • The medial side of the 1st MTP joint will be moved laterally, to align it with a mid-calcaneal line. The amount of material removed from the medial forefoot to bring the forefoot into proper alignment will be added to the lateral forefoot to restore the proper ML
      • A lateral fibular extension is created to control varus and load a pressure tolerant area of the fibula
      • If the order calls for a raised forefoot trimline, 3 mm (1/8") will be added to the MTP joint that is being covered by plastic
      • Adding 3 mm build-ups to any marked bony areas





    • 2. Design  




















    • 3. Thermoforming  



    • 4. Finishing  



    • 5. Additional Instructions  
    • 6. Anatomical Measurements  
    • AOPS Billing  
    • Should be Empty: