Our Notice of Privacy Practices Pamphlet in PDF form.

Bring this form to the Physician who treats you for Diabetes for completion. Make sure to bring this form to a physician who sees you at least every 3 month.

You can have our office find out coverage with your insurance if you are unable come to our office. Please also complete the "Patient Intake Form"  Please also include a copy of the prescription from your doctor and insurance card. Fax the completed documents to (908) 874-8821 or email to info@swiss-orthopedic.com.

Fill this form out to safe some time filling out forms in our office. You can fill this form on your PC and then print it out.

This document explains what's required to qualify for diabetic shoes. Please be aware the most Medicare claims are being denied due to lack of supporting documentation from your doctors. Swiss Orthopedic can not guarantee payment from your carrier.

How we handle your insurance claim and release form to obtain medial records from your physician.