For an appointment and our council regarding the design and production of your custumized foot orthoses we ask you to fill this short questionare and we will contact you as soon as possible.
Appointment
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Name and surname of the patient
Name and surname of parrent/guardian
Your e-mail
Patient age
Patient size of the foot
Is the patient using an orthoses currently?
On which part of the foot (ankle, knee, hip)?
Optional. Any comments you would like to add?
aNImaKe d.o.o.
Tyrševa ulica 6
2000 Maribor
SLOVENIJA
   aNImaKe

     High precision custom made orthotics
aNImaKe
                          High precision custom made orthotics
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