Updated 2021-Feb-28 12:08 Comment out fax and signature options; Use checkValidity()and reportValidity() to assess required fields; aligned copyto input; used placeholder instead of background to highlight field. Referral to Foot Solutions. Custom Orthotics, Orthotic Additions, Custom Footwear, Specialty Products, Compression Stockings.
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Foot_Solutions_Referral_eForm_2021.zip | Download |