Forms, Templates, & Doctor Resources
Download and print doctor forms here. If any of the following forms fail to download, reach out and we can send them to you via email.
Foot Examination Form
This form is for doctors that have completed the Council on Extremity Adjusting's course on Foot, Gait and Orthotics and will enable CCEP's to correctly examine the foot for making or prescribing foot orthoses.
Letter of Medical Necessity
Send this letter in with your claim forms for orthotics. Be sure to format to accommodate your company's logo and address.
Chiropractic Exam Form
This form is Doctor Hearon’s personal exam form and is perfect for graduates of the CCEP program and doctors trained in extremity adjusting.
Patient Progress Report
Keep all of your patient notes handy for reference with this patient progress report.
Dr. Hearon's Orthotics Examination Station
A very handy piece of furniture for examining the feet and storing orthotics. This station will enable the skilled CCEP to quickly and efficiently make custom orthotics for their patients on the spot!
Knee Flow Chart of Conservative Care
Avoid repetitive orthopedic testing/challenging of ligaments of the knee during the healing process until near the end of the healing period. Allow the new filaments of the ligaments to reattach with out you disrupting them constantly.