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Printable Forms E-mail

As of January 2013, there has been a change in the paperwork that is needed in order for you to receive your Diabetic Footwear. These changes will be mailed to you and will be available here to download with complete instructions (Page 1) for you and your Doctor to fill out.

These forms are provided to you in the form of a PDF file. Most computers already have Adobe Reader installed. Adobe Reader is a free program. If you do not have Adobe Reader installed then you can click the link below to be directed to Adobe's official website to install it.

 

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Filename
An Adobe Acrobat file diabetic packet pg 1
An Adobe Acrobat file diabetic packet pg 2
An Adobe Acrobat file diabetic packet pg 3
An Adobe Acrobat file diabetic packet pg 4