Refer Your Patients with Confidence
Everything you need to refer patients to our clinic for diabetic shoes, orthotics, and arthritis-friendly footwear.
How to Refer
CMN/SWO
This form initiates the diabetic shoe qualification process for your patient. It captures the required clinical details needed to meet Medicare and insurance guidelines, including qualifying diagnoses and foot conditions. Once submitted, our team at Diabetic Shoe Clinic will handle the documentation, coordinate directly with your office for any needed records, and guide the patient through fitting and fulfillment.