WALK RITE FOR LIFE
Physician Certification Obtaining your therapeutic footwear through Medicare.

How to Get Started

Medicare requires a specific "Statement of Certifying Physician" to cover the cost of diabetic shoes and inserts.

  • 1 Click the button below to open the official Physician Certification Form.
  • 2 Print the document and bring it to the MD or DO who manages your diabetes.
  • 3 Have your doctor sign the form and return it to us.
Fax completed forms to: (408) 376-0498