Edit, Download, and Sign the Cascade Dafo Order Form Instructions and Details

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How do I fill this out?

Filling out this order form is straightforward. Begin by providing patient details and any additional specifications for the brace required. Make sure to review all sections to ensure proper fulfillment of the order.

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How to fill out the Cascade Dafo Order Form Instructions and Details?

  1. 1

    Save the form to your desktop.

  2. 2

    Fill in your details and specifications on the eForm.

  3. 3

    Print the completed form.

  4. 4

    Send it with the patient's cast to the specified address.

  5. 5

    Contact customer support if you need assistance.

Who needs the Cascade Dafo Order Form Instructions and Details?

  1. 1

    Practitioners who need custom braces for patients.

  2. 2

    Patients requiring orthopedic assistance and custom devices.

  3. 3

    Healthcare facilities that manage patient cast submissions.

  4. 4

    Administrative staff handling medical order processing.

  5. 5

    Insurance agents needing forms for patient orthotic services.

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What are the instructions for submitting this form?

To submit this form, please ensure it is filled out completely and accurately. You can send it to Cascade Dafo, Inc. at 1360 Sunset Ave, Ferndale, WA 98248, via fax at 855.543.0092, or through email at orders@cascadedafo.com. For online submissions, please visit orders.cascadedafo.com.

What are the important dates for this form in 2024 and 2025?

Important dates pertaining to this form include submission deadlines for patient orders and annual updates. Keep an eye on January for revised versions of the form. Ensure all submissions are timely for efficient processing.

importantDates

What is the purpose of this form?

The purpose of this form is to facilitate the ordering of custom orthotic devices. It serves as a critical tool for capturing patient information and specific requirements for their orthotic bracing needs. Accurate completion ensures that patients receive the necessary support devices quickly and effectively.

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Tell me about this form and its components and fields line-by-line.

The form comprises several fields necessary for proper submission.
fields
  • 1. Last Name: Enter the patient's last name.
  • 2. First Name: Enter the patient's first name.
  • 3. Birth Date: Input the patient's date of birth.
  • 4. Email: Provide a valid email address for contact.
  • 5. Phone: Include a phone number for follow-up.
  • 6. Shipping Address: Fill in the address where the device should be shipped.

What happens if I fail to submit this form?

Failing to submit this form can lead to delays in receiving the necessary orthotic devices. The absence of vital information may result in incomplete orders. It's essential to ensure all sections are filled correctly before submission.

  • Processing Delays: Incomplete forms may delay the processing of orders.
  • Incorrect Devices: Missing specifications can result in receiving the wrong orthotic device.
  • Communication Issues: Incomplete contact information may hinder follow-up actions.

How do I know when to use this form?

This form should be used when ordering custom orthotic devices for patients. It is necessary for practitioners managing patient orthopedic needs. Make sure to utilize this form whenever a detailed specification for a brace is required.
fields
  • 1. Ordering Custom Braces: Use this form to submit orders for customized orthotic devices.
  • 2. Patient Cast Submissions: Submit patient casts alongside the completed order form.
  • 3. Insurance Claims: Utilize this form for processing insurance claims for orthotic services.

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Are there any restrictions for submitting this form?

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What information is mandatory to fill out?

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