Doctor’s Prescription Form, Foot Orthotics, Custom Shoes, Bracing, Compression Socks

Doctor’s Prescription Form

Your insurance company will likely require a doctor’s referral in order to cover some or all costs of your foot comfort solution. Following your foot assessment at Elio’s Foot Comfort Centre, our team will provide you with a referral package which you can bring to your Family Doctor to complete and sign. You can also find our blank prescription form below.

Prescription Form | Elio's Foot Comfort Centre

Foot Assessments

Elio’s offers a convenient foot assessment service on-site for people with unique needs. Contact Elio’s to schedule a foot assessment with a Canadian Certified Pedorthist.

Download Prescription Form
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