973•748•6484

 

Patient Forms

For our Medicare Diabetic Customers:

Please Print ALL 3 documents below and bring them to your physician’s office.
Be sure your physicians staff reads the instructions and provides you with the documentation Medicare requires prior to coming to our store.
For any questions, please contact us at 973-748-6484.

MedicareRequirements

CertifyingPhysicianForm

PrescriptionForDiabeticFootwear

 
 
©2017 J.T.Murdoch Shoes • 623 Bloomfield Avenue • Bloomfield, NJ 07003 • (973) 748-6484
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