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Physician Chart Requirements

Know the guidelines, be your own advocate

​To recieve a prosthesis, your physician has to document specific discussion points with you. We are happy to help your physican, but you can also take these documents to your next appointment.  Most insurance companies follow Medicare Requirements. For a lower limb prosthesis or major component to be covered, the below guidelines will help you discuss your needs with your physician. Your insurance company requires a physical evaluation of the patient and specific talking points about your mobility. 
Please provide the PDFs below to your physician for compliant chart note content
(Medicare and most insurance companies do not consider a letter part of the medical record).
Please fax any compliant chart notes to our office at (352) 332-8074

Click on the buttons below to download a copy of the chart requirements that you can give to your physician. 

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