Before Your First Appointment

Both prosthetic and orthotic patients will need to obtain a prescription from their physician for an orthotic or prosthetic device. At your first appointment, you’ll meet your prosthetist or orthotist, review your prescription, ask questions, and discuss your goals. After you’ve consulted with a clinician, our office staff will work up an estimate for your device(s) and schedule the necessary follow-up appointments. Please note: We cannot provide estimates without a consultation.

What to Bring to Your Appointment

  • Insurance card(s). If you’re covered under multiple plans, please be sure to bring all of the cards
  • Photo ID
  • Prescription or referral

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Patient Intake Forms

If you wish to have in-clinic appointment we recommend you to print and complete your patient intake forms before your appointment. Save time before your appointment at the CPO Clinic.

Patient Registration Form

Patient Consent & Acknowledgement Form

DMEPOS Supplier Standards Form

WComp Supp Registration Form

Patient Medical History Form

Notice of Privacy Practices

Liability Supp Registration Form

DMEPOS Supplier Standards – Posted

Photo Release PDF

Billing & Insurance

At CPO, we are working here to make the billing and insurance process as simple as possible for our patients.

If you have any questions about your billing statement or insurance authorizations or copays, please call (888) 676-2276, our financial and insurance advisors are here to help you in every possible way.

Bill Pay

You can pay your patient responsibility via online channel:
Pay Bill Online

If you would like to make a payment over the phone, call (888) 676-2276.

Financing is available through CareCredit, a GE Money company that offers no-interest and low-interest payment plans based on your needs and budget.

Insurance Information

Most of the orthotic and prosthetic services provided by CPO are covered by health insurance, including Medicare and Medicaid, but the amount of coverage available varies based on your specific insurance. ​

​CPO is in-network with most of the insurance providers If we are not in-network with your provider, we are still happy to provide orthotic or prosthetic services, but you may be responsible for a larger percentage of the cost, subject to the out-of-network rate set by your insurance plan.

In most cases, some percentage of patient responsibility is required to be paid out-of-pocket by the patient at the time the orthosis or prosthesis is delivered–the amount depends on your insurance and the device you are receiving. Insurance plans may have benefit maximums, and only cover up to a certain amount for a specific service.

Once you provide us with your insurance information, our experienced office staff will verify your benefits with your insurance carrier to determine the amount of coverage available for your orthotic or prosthetic services. If needed, our staff will also obtain prior authorization from your insurance company. Our office staff will then provide you with an estimate of your portion of the costs prior to your orthotic and prosthetic service being provided. Please note–a prescription is required for most services.

Medicare Processing

We have a comprehensive understanding of Medicare regulations and reimbursements and are happy to answer your questions regarding eligibility, bills, deductibles, and Medicare notices.

Financial Policy

Download a copy of CPO’s Financial Policy below or request a physical copy at your appointment. This document helps clarify your financial responsibility based on type of insurance. ​

Denied Claims

If your claim is denied by your insurance company, our financial and insurance advisors are here to assist in filing an appeal and completion of necessary paperwork, upon request.


CPO Services warrant each custom device made by CPO to be free from defective workmanship and/ or parts, under normal service and use, for six (6) months from the delivery date.

Request a Free Evaluation

Take the first step in your journey towards returning to your new normal. We are here to help you every step of the way. Schedule a consultation with a specialist at your nearest CPO clinic.

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