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Static Content - Create Your Account

Create Your Account

What's your name and email?

Name(Required)

Email(Required)

GDPR(Required)

I have read and agree to your privacy and GDPR policy

Static Content - GDPR

Please ensure that you've read our privacy policy

Static Content - Your address

Your address

Please provide the full address of your clinic/hospital.

Address(Required)

Phone number(Required)

Supplier(Required)

Static Content - Supplier Unable

Unable to find a supplier

You've indicated that you are unable to find a supplier.

Due to this we are unable to continue with sign-up.

Please contact us for further support

Please confirm how you would like to order our orthoses following your training(Required)

Please choose the supplier you will use for our products

Static Content - Billing address

Billing address

What is your full billing address?

Billing address(Required)

Billing email(Required)

Billing phone number(Required)

Your Name(Required)

Your Email Address(Required)

Your Telephone Number(Required)

Who is this orthosis for?(Required)

Adult

Child

Are you a health professional or private patient?(Required)

I am a health professional (NHS)

I am a health professional (private)

I am a private patient

Name of health authority paying the invoice(Required)

Patient Name(Required)

Patient Location(Required)

Patient DOB(Required)

Is there a condition we can help you with?

Required Products(Required)

To select multiple products hold CTRL key (or Command key if using a Mac) and click the products you require.

Is the Patient VAT Exempt?(Required)

If the patient is chronically sick or has a disabling condition please choose 'Yes'. For further guidance, consult Notice 701/7 VAT reliefs for disabled people or contact our National Advice Service on https://www.gov.uk/financial-help-disabled/vat-relief

Yes

Has the patient already paid £75 for an initial assessment at one of our clinics?(Required)

Yes

Is assistance required from DM Orthotics to measure or fit?(Required)

It is recommended that you only measure and fit DM Orthotics products yourself if you have received training from us on fitting our products.

Yes

Measurement Required?(Required)

Yes

Fit Required?(Required)

Yes

Additional info that can help us

CAPTCHA

Your Name(Required)

Your Email Address(Required)

Your Telephone Number

Location

Are you a?

How did you hear about DM Orthotics?

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This field is for validation purposes and should be left unchanged.

Your Name(Required)

Your Email Address(Required)

Your Telephone Number

Your Country(Required)

Why would you like access to this research paper?(Required)

Research Compilation Document

Hierarchy of Evidence

Ashleigh’s Story

Chloe’s story

Charlotte’s story

Create Your Account

Choose a Password

Your details

Your address

Unable to find a supplier

Billing address

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Password reset

Register For Professional Training

Training Login

Health Professional

Create your account

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Your details

Your address

Billing address

Create Your Account

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Your details

Your address

Unable to find a supplier

Billing address

Your account is currently under moderation.

Your account has been approved.

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Password reset

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Ashleigh’s Story

Chloe’s story

Charlotte’s story

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