Literature Request

 



Root Lab Literature Request

 

Root Lab is a manufacturer of prescription foot orthoses, AFO's and orthotic sandals.  Our printed literature is intended solely for licensed medical practitioners.   For patient and general public information, please use the "patient information" link from the home page of our web site.  Thank you.

Upon submittal, we will send product information, Rx forms and a price list. 

Please indicate product(s) of interest (select all that apply).

Custom Orthoses/ Quantity:

AFOs / Quantity:

Orthotic Sandals/ Quantity:

(* are required fields)

Company
Title
*First Name
*Last Name

*E-mail

*Phone

( xxx-xxx-xxxx)

*Address
*City
*State
*Zip





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