Orthotic Diabetic Care

Orthotics – Diabetic Care

Recent changes to Medicare’s Therapeutic Shoe Policy (policy Article A47129) now require more extensive medical documentation.
Please PRINT and COMPLETE the two forms below to be filled out by the physician who manages your diabetes. They are required for your initial evaluation with Scheck & Siress.

Click here for Diabetic Footwear Forms.

Diabetic and Therapeutic Needs


Charcot Restraint Orthotic Walker
The CROW boot offers the best protection possible for patients who have foot ulcers that aren’t healing or need support for their Charcot ankle.

Diabetic Neuropathic Shoes

These shoes provide the protection and comfort many patients need due to their diabetes or neuropathy.

Wedge Shoe

For patients who have had surgery or have a severe ulcer, the wedge shoe promotes healing.

Plastazote Shoe

This shoe is made of a material that can be stretched to allow room for surgical dressings or foot deformities.

Custom Molded Shoe

When diabetic ulcers, amputations, bunions or other deformities make shoes difficult to wear, your orthotist can create a custom shoe from a cast of your foot.


Foot Orthoses
Worn inside the shoe(s), foot orthoses can help patients with problems they have in their feet, knees, hips, and back.

Compression Hose

For swelling or circulation problems, compression hose provides a constant pressure of various strengths and lengths.