PDF Prescriptions

Here at The Langer Group we are constantly trying to do the best for our customers. So to help with this we have supplied the full range of prescription forms used in the laboratory for you to use. All the stated prescription are available in the table below under the corresponding company.

 

For Custom insoles we have the following range:

  • Langer Green Prescription Form (for practitioners writing their own prescription)
  • Langer Blue Prescription Form (for practitioners who require assistance filling out their prescriptions)
  • TMCustom Functional Prescription Form
  • TMCustom EVA TCI (Total Contact Insole) Form
  • RX Prescription Form

For help filling out the prescriptions we have some explained examples:

  • Langer Explained Prescription Form
  • TMCustom Explained Prescription Form
  • RX Explained Prescription Form

For Semi-custom insoles:

  • TMCustom Castaway Prescription Form

For Simple insoles:

  • TMCustom Simple Insole Prescription Form

For AFO's (Ankle Foot Orthoses):

  • TMCustom AFO Prescription Form

 

Langer logo

tmcustom Logo

RX Laboraotoires logo

Langer Prescription Form Explained TM Custom Prescription Form Explained RX Prescription Form Explained
Langer Green Form
TM Functional Prescription Form  RX Prescription Form
 Langer Blue Form
TM EVA TCI Form
Langer Simple Insole Form TM Castaway Form
TM Simple Insole Form
TM AFO Form