Repeat Orders

Only physicians with an open account at Performance Laboratories can order additional pairs for their patients.

Devices will be fabricated and returned to the physicians address on file.

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Patient name(*)

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Doctor Name(*)

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Old work order number(*)

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Contact E-Mail(*)

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Requirement(*)

Duplicate Different orthotic style with no changes “Specify Style” Same orthotic style with changes Different orthotic style with changes

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