<strong>If you are putting this through insurance, you may need a prescription from a medical doctor or a podiatrist. Please check with your insurance provider. Do you have a prescription?</strong> (required) Yes No I don't need one. Name(required) Email(required) Phone(required) Pick a day!(required) Select one option Monday Tuesday Wednesday Thursday Friday Saturday/Sunday (depends on availability) Please indicate your time preference(required) Notes Book Appointment Δ