Affidavit/Form for lost prosthesis

Ashley Watkins

Description

Title:

Affidavit/Form for lost prosthesis

Creator:

Ashley Watkins

Date:

6/19/2017

Text:

Hi! We have a patient who has lost his prosthesis in a creek and will be requiring a replacement foot. He just received a new foot about a month ago, and we were wondering if anyone has an affidavit form or something similar that we can put in the chart to justify a replacement foot/prosthesis to insurance? 
Thank you! Ashley  Ashley Watkins, MSOP, CPOAdvanced Prosthetic Services, Inc.2930 E. MooreSearcy, AR <Email Address Redacted>

                          

Citation

Ashley Watkins, “Affidavit/Form for lost prosthesis,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/242984.