Delray Beach

(561) 240-8255

Jupiter

(561) 292-1487

Hollywood

(754) 255-9422

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      • Feet And Ankles
      • Hip Disarticulation Hemipelvectomy
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      • Upper Extremity Prosthetics
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  • Home
  • Our Team
  • About Us
  • Services
    • Prosthetic
      • Feet And Ankles
      • Hip Disarticulation Hemipelvectomy
      • Knees
      • Pediatrics
      • Prosthetic Covers
      • Socket and Suspension
      • Upper Extremity Prosthetics
    • Orthotic
      • Pediatric Orthotics
      • Cranial
      • Scoliosis
    • Other Services
      • G4 Foot Drop System
      • Maternity Brace
      • MyoPro
      • Animals
  • Galleries
    • Photo Gallery
    • Video Gallery
  • Testimonials
    • Video Testimonials
    • Written Testimonials
  • Resources
    • Blog
    • Forms
    • Insurance
    • Newsletters
  • Locations
  • Contact

Forms

Patient Forms

HIPPA Español

Falk Notice of Privacy

Practices

Notice of Financial Policy

Patient Information Form English

Patient Release Form English

Patient Release Form Español

Patient Information Form Español

 

Orthotic Instructions

AFO wear instructions peds Spanish

AFO wear instructions peds

AFO KAFO instructions

Back Brace Instructions

Cervical Collar Instructions

Cranial Helmet Instructions

Foot Orthotic Instructions

Hip Abduction Instructions

Orthotic Instructions

Knee Brace Instructions

Kyphosis instructions

Scoliosis (SPANISH)

Scoliosis instructions

Scoliosis night time instructions

Upper Extremity Instructions

Prosthetic Instructions

Prosthetic wear schedule and skin inspection

Prosthetic Care Instructions – Suction

Prosthetic Care Instructions – 3S Pin System

Transfer Paper

Transfer Falk 1

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Why Patients Choose Falk Prosthetics

Custom-Fabricated for You

Every device is molded specifically to your body for superior fit and function

Advanced Technology

Including microprocessor-controlled and myoelectric prosthetics

Experienced, Certified Team

ABC-certified specialists with extensive training

Faster Turnaround

In-house lab ensures quality and speed

Delray Beach Office

5180 W. Atlantic Ave., Suite 116, Delray Beach, FL, 33484
Office: (561) 240-8255
Fax: (561) 495-0034

Jupiter Office

2141 Alternate A1A South, Ste 130, Jupiter, Florida, 33477
Office: (561) 292-1487
Fax: (561) 741-0498

Hollywood Office

3157 N University Dr, Suite 100, Hollywood, Florida, 33024
Office: (754) 255-9422
Fax: (754) 888-0045

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Insurance Accepted

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Call Our Office

Delray Beach (561) 240-8255
Jupiter (561) 292-1487
Hollywood (754) 255-9422