New Patients


In an effort to serve you better, please complete the new patient paperwork prior to your appointment. Simply click on the icon below to get started. 

Please bring a printed copy of your paperwork to your next appointment or fax it to your local Midwest Orthotics office prior to your visit.

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We Value Your Opinion

After each delivery, we will e-mail a short survey to gain valuable insights about your experience with our company.

If you happen to receive one of our surveys, please take few a minutes to complete it and send it back to us. To show our appreciation, we'll randomly select one lucky winner from each office to receive a $50 Amazaon eGift card!*

*Must be legal U.S. resident. Must be 18 years or older. Limit one winner per houshold.