Make an Appintment
Copyright © 2010 The Foot Comfort Center
No materials may be reproduced without written permission
215 676 SHOE (7463)
1. Download and print one of the forms below
for your doctor to review and sign:
a)
Click here for DIABETIC patient forms: MS Word
b) Click here for NON-DIABETIC patient forms: MS Word
For office numbers and addresses please click here.
Schedule an Appointment
2. Make an appointment to see your doctor and
present him/her with the printed form.
3. After your doctor signs the form, you may be qualified to receive shoes, so please call the
nearest Foot Comfort Center
location to make
an appointment.
Diabetic Shoes and Inserts at NO COST to a Patient!
Certain deductibles, co-insurances and/or co-payments may apply
Foot Comfort Center 215-676-7463