Simple Steps for Ordering Orthosis for Off the Shelf Items

• Submit an online request, and/or:

• Email your request to eastmeadow@completeorthopedic.net

• Provide us with your own patient demographic form

• Fax paper forms to 516-357-9186

Our office will notify you once we receive the request, via (phone, e-mail, fax) to let you know the status of your request.

Chiropractic Request Form

• Please fill out forms & download and e-mail them to: eastmeadow@completeorthopedic.net

Orthopedic Request Form

Prosthetic Request Form