To comply with the new e-Privacy directive, we need to ask for your consent to set the cookies.
Call us at 888-678-6548 orEmail to firstname.lastname@example.org
EASY - Complete at time of fitting. If BILATERAL, it is okay to use the same form for both orthoses.
To print-off Warranty form Click here
More info about the product warranty
Serial # is either a combination of alpha-numeric characters, or a 4-8 digit number, and is located on footplate or inside anterior support. If bilateral, please enter Serial # for both LEFT and RIGHT.
* these values have to be filled out.
¹ A confirmation will be sent to the email address given in the form when the registration is processed. If no email address is given you won't receive any confirmation. Email addresses given in this form is only used for sending confirmation and notifying gift certificate winners.
² Please contact the company you have indicated to obtain return authorization.