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diabetic shoe forms
&
physician requirements

Please download and print both forms below and take them to your appointment with your physician.  Please have them complete a diabetic foot exam and fill out the diabetic shoe form.  They can fax back the form and their documentation including the foot exam.

CONTACT
US

Phone: 402-393-2354

Fax: 402-393-2509

Email:  info@lifestylesop.com

 

15418 West Center Road

Omaha, NE 68144

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VISIT
US

Monday: 9 AM- 5 PM

Tuesday: 9 AM- 5 PM

Wednesday: 9 AM- 5 PM

Thursday: 9 AM- 5 PM

Friday: 9 AM- 12 PM

Saturday: Closed

Sunday: Closed

 

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