1. To refer a potential medical professional, including podiatrist, physical therapist, chiropractors, orthopedist or other medical professional please complete this online form and click submit.   If you prefer to print this form and fax or email it to us, please click here.
    2. We will send out an OS1st retail referral package, complete with the following.
      • Introductory Letter
      • OS1st Catalog
      • OS1st Prescription Pad
      • OS1st Measuring Tape
      • OS1st Laminated Quick Reference Sheet
  • This field is for validation purposes and should be left unchanged.