Introduction to our Helpful Healthcare Providers Program

Dear Healthcare Provider,

We are attempting to generate a directory of helpful healthcare providers for our website visitors to contact for professional consultations/services. Our site is viewed by in/out-of-state and international visitors.

Thank you for supporting Advanced Prosthetics & Orthotics of America’s efforts to develop an informative website, specially designed as a resource to the amputee. We would be honored to add you to our helpful healthcare provider section of our website.

Add Your Facility to Our Program

Please fill out the following information below to be included in this section of the Advanced website.
*denotes required field
*Facility / Practice Name:
*Healthcare Provider:
*Address:
*City, State, Zip: ,
*Email Address:

Area(s) of Specialty:
Family Medicine
Internal Medicine
Nepherology
Physical Medicine
Physical Therapy
Psychiatric
Surgery (General)
Surgery (Orthopaedic)
Surgery (Trauma)
Surgery (Vascular)
Other - Please specify:

Specialized Facility:
Dialysis Care
Home Health Care
Nursing Home Care

Additional Comments:

Or fax this information form to: 1-800-261-9537

If there is any patient information you would like to contribute to our website, feel free to submit it to us. As well, an Advanced local representative is always available to receive and submit your information for inclusion on our website. We welcome your comments for improving our website.

Feel free to contact our website administrator at 1-800-330-8881.

Our Growing List of Providers

Coming soon.

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