Central Ohio Orthotic & Prosthetic Center

Improving Human Capability in Central Ohio.

Providing professional, quality, prosthetic and orthotic services since 1991.

New Patients:

As a new patient, please bring the following items with you to your scheduled appointment. They will be necessary to assist our staff in providing you with quality care and treatment.

  • Current insurance card.
  • Driver’s license.
  • Current prescription; written less than 90 days before your scheduled appointment with us.
  • Physician notes, if provided to you by your physician.
  • X-rays, if provided to you by your physician.
  • Orthotic or Prosthetic device, if you already have one; even if it no longer fits or is broken.

The following Patient Registration Forms will be required to be filled out at the time of your appointment.

If possible, prior to your appointment, please send the completed forms, along with your prescription, to us through our Contact Form, located here.

Providing your information prior to your appointment will allow time for our staff to review your information, as well as, contact your insurance carrier(s). Your insurance carrier(s) will be contacted in order to verify benefits for your prescribed device. Our staff will also begin any prior authorization, pre-certification or pre-determination procedures that your insurance requires.

Otherwise, please arrive 15 minutes prior to your scheduled appointment time to give our staff time to process your information before your evaluation with one of our Orthotic or Prosthetic practitioners.

If you don’t have Adobe Acrobat you can download it here.

Existing Patients:

As an existing patient, we will ask that you verify the information we have on file.

If any of your information has changed from your previous visit, please update it on the following forms.

If possible, prior to your appointment, please send the completed forms, along with your prescription, to us through our Contact Form, located here.

Please bring the same items (listed above) that are required for new patients.

Otherwise, please arrive 15 minutes prior to your scheduled appointment time.

If you don’t have Adobe Acrobat you can download it here.

Patient Medical History

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Patient Registration Form

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Patient Registration Signatures

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Privacy Policy

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Patient Bill of Rights

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