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Appointment Request Form
  1. Request an Orthotic Appointment

    To request an orthotic appointment at one of our upcoming shows, please fill out the form below.
  2. Are you currently a Solemate orthotic customer?
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  3. What type of coverage do you have?
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  4. For which tradeshow would you like to book an appointment?
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  5. What time of day works best for you?
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  6. Additional Comments or Questions
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  7. Contact Information

  8. First Name(*)
    What's your first name?
  9. Last Name(*)
    What's your last name?
  10. Phone(*)
    What's your phone number?
  11. Email(*)
    What is your email address?
  12. I prefer to be contacted by
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  14. Submit Appointment Request




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  • I am a 69 year old male who had a 4 way heart bypass 12 years ago. The surgeon left a staple buried in my left knee area during the retrieval of the vein for the bypass repair parts. The staple caused a Level 2 infection which blew out most of the lymphatic lift check valves when the swelling from Read More
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