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Prescription

Device & Calculations

Base device
Device width
EVA density
EVA
Top Cover

Adjustments

Arch height
cm
Shell length
cm
Shell width
cm
Shell thickness
mm
Rear foot correction angle
˚

Personal details

Body weight
Shoe size
Shoe type
Longest points (L/R)
cm / cm
Widest points (L/R)
cm / cm

Biometrical Questions

1. Your foot type
2. Toe direction
3. Rear foot view
4. Navicular bulging
5. Lateral ankle
6. Talar head palpation
7. Knee position
Medical history

Structual Abnormalities

Foot Pain