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Standard Order Form

To submit an order form to Noolab, please complete the form below.

 

You can also click here to download the PDF, print, and send it electrionically via mail.

National Orthopaedic & Orthotic Lab Inc.

Lab Information

1290 Arvin Ave - Unit 17 Stoney Creek, Ontario L8E0H7

Tel: (289) 649-0400 

accounts@noolab.ca

Lab to Call Doctor

Patient Information

Standard Orthotic Devices

Functional:
Athletic:
Dress:
Accomodative
Diabetic:

Additional Accomodations

Shell Material

Cast & Grind

Performance RX (Std.)
Arch Heigh of Cast
Polypropylene
Flanges
Other
Lateral Type
Heel Cup
Orthotic Width

Posting

Forefoot
L/R
Rearfoot
L/R
Heel Lift
Heel Hole

Covering

Top Cover Material
Top Cover Length
Poron Padding Length
Poron Padding Thickness

Accommodations

Met Pad
Accommodation
Cut Outs
Cut Outs
Met Bar
Arch Pad
1st Met Cut Out
Morton's Extenson
Arch Reinforcement
Heel Spur Accommodation
Dancer's Pad
Heel Cushion
Length
Material
Additional Items
Rush Requests Required

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