To fax in orders, simply download one or more of the following .pdf files.
After printing it out, fill out the order blank and fax it to our offices at (916) 858-3320.
As always, you are welcome to call toll free (800) 545-6287
And place your order with one of our customer service representatives.
NOTE: New Account Minimum first time order $100.00.
Regular Minimum order $50.00.
All orders not totalling $50.00 require a $25.00 handling fee.
click here to download Acrobat Reader to open and print the files below.
Therapeutic Shoe Bill Kit Order Form Use this file to order or re-order the Advance Shoe and the required multi-density
diabetic inserts required to file under Medicare Part B.
Foot Product Reorder Form Use this file to order or re-order any of the prefab foot orthotics Atlas sells.