REQUEST PRODUCT PRICING

Competitive Pricing for Your Practice and Patient Budgets

We offer competitive pricing for all of our lower extremity products (ask us about our Economy Footlights line!).

If you would like to request pricing for a specific product line, please complete the form below.

    YOUR NAME

    PRACTICE NAME

    EMAIL ADDRESS

    PHONE NUMBER

    PLEASE SEND PRICING FOR THE FOLLOWING PRODUCT LINES
    Custom Plus OrthoticsCustom Footlights OrthoticsOTC OrthoticsRichie BraceOTC Richie BraceFall Protection BraceCompressions SleevesiPad ScannerFoot Gym

    MESSAGE (any additional notes or comments you would like to add about your pricing request)