What to Expect
  Frequently Asked Questions
  • Forms
  Patient Satisfaction Survey
  Payment Policies
Patient Forms
We take great pride in designing mobility and restoring confidence in our patients' lives and in meeting or exceeding their highest expectations. Before your first appointment we recommend that you download, print, and complete the Patient Conset Form below and bring it with you to the appointment.

We also suggest that you review the Notice of Privacy Practices (HIPPA) notice. This notice provides information regarding how your personal health information may be used by staff members at O & P Design, Inc. or disclosed to other care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. Your health information may also be used to seek payment from your health plan or from other sources that you may use to pay for services.

After you visit O & P Design, we hope that you will complete our Patient Satisfaction Survey so that we can find out how we may serve you better. You can fill the form out online and it will be emailed directly to us. If you would like to provide additional feedback, please downloaded, print, and complete the Patient Feedback form.

Then mail it to:

O & P Design, Inc.
P.O. Box 444
Ballwin, MO 63022

Or, you may fax it to 314-535-5488.

Please click on the links below to download these forms.

Delivery Ticket
Orthotic What To Expect

Treatment Plan Letter
Medicare Questions
Patient Feedback Form
Patient Financial Policy
Patient Registration
Privacy Practices
Purchase Order Verification


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Orthotic & Prosthetic Design
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