WE NEED YOUR FEEDBACK!

Please answer the questions below, and we will send you

The Richie Brace® Patient Education Video for use in your practice!

Your Name *

Practice Name *

Title and Company *

Email *

What is your current AFO brand choice?

Richie Brace
Platinum Ankle Brace
Optima Brace
Moore Balance Brace
Arizona Brace
Other
None

Are you experiencing AFO challenges with the new ICD 10 codes?

YesNo

If yes, please share your challenges/thoughts:

What would you like to see from Allied OSI Labs to help you prescribe more AFOs more frequently?

* = Required

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