• Pacific Orthotic Laboratory

    RX Order Wizard

  • Please provide additional prior order information if available:

  • Aerobic Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Normal
    Shell Width: Normal
    Cast Fill: Normal
    Shell: 1/8” Polypropylene
    Rearfoot Posting: Crepe Firm @ 0°/0° with No Post Cap
    Additional: EVA (Medium) Arch Fill
    Covers: : Full Length 1/8” Neoprene Top, Puff EVA Bottom

  • Super Sport Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Normal
    Shell Width: Normal
    Cast Fill: Normal
    Shell: 1/8” Polypropylene
    Rearfoot Posting: Crepe Firm @ 0°/0° with No Cap
    Additional: EVA (Medium) Arch Fill
    Covers: : Full Length 1/8” Poron Cushion, Black Vinyl Top, Puff EVA Bottom

  • Poly Athletic Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Normal
    Shell Width: Normal
    Cast Fill: Normal
    Shell: Polypropylene Semi Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: None
    Covers: Full Length 1/8” Puff EVA Top, Ultrasuede Bottom

  • Carbo Athletic Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Normal
    Shell Width: Normal
    Cast Fill: Normal
    Shell: Carboplast II Semi-Rigid by Weight
    Rearfoot Posting: Crepe Firm @ 0°/0°
    Additional: None
    Covers: Full Length “6/6” Blue BiLam (PPT + Blue EVA) Top, Ultrasuede Bottom

  • Ski Orthotic Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Shallow
    Shell Width: Narrow
    Cast Fill: Normal
    Shell: NW DBX6 Rigid
    Rearfoot Posting: Crepe Firm @ 0°/0°
    Additional: None
    Covers: Full Length 1/16” Neoprene Top, Ultrasuede Bottom

  • Carbo Dress Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Shallow
    Shell Width: Narrow
    Cast Fill: Normal
    Shell: Carboplast II 2.0mm Semi-Rigid
    Rearfoot Posting: None
    Additional: Heel Hole
    Covers: Sulcus Length 1/16" PPT Extension, Black Vinyl Top, Scrim bottom

  • Soft Step Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Normal
    Shell Width: Normal
    Cast Fill: Normal
    Shell: 3/32” Polypropylene
    Rearfoot Posting: None
    Additional: EVA (Medium) Arch Fill
    Covers: Full Length 1/16” PPT Cushion, 1/16” Neoprene Top, Ultrasuede Bottom

  • Cork & Leather Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep
    Shell Width: Wide
    Cast Fill: Normal
    Shell: Thermocork
    Rearfoot Posting: Integrated into Shell
    Additional: Integrated Arch Fill
    Covers: Full Length 1/16” PPT Cushion, Brown Leather Top, Multicork Bottom

  • Poly Accommodative Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Shallow
    Shell Width: Normal
    Cast Fill: Normal
    Shell: 3/32” Polypropylene
    Rearfoot Posting: None
    Additional: EVA (Medium) Arch Fill
    Covers: Full Length 1/16” PPT Cushion, Black Vinyl Top, HR EVA Bottom

  • AliPlast Accommodative Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Shallow
    Shell Width: Normal
    Cast Fill: Normal
    Shell: AliPlast XPE Polyethylene Foam
    Rearfoot Posting: Integrated
    Additional: EVA (Medium) Arch Fill
    Covers: Full Length “6/6” Blue BiLam (PPT + Blue EVA) Top, HR EVA Bottom

  • Foot Forms Cork Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Normal
    Shell Width: Normal
    Cast Fill: Normal
    Shell: 1.5mm 55 Duro Milled Cork/EVA Base
    Rearfoot Posting: Integrated
    Additional: Integrated Arch Fill
    Covers: Full Length 1/8” Puff EVA Top, Integrated Bottom

  • Foot Forms Blue Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Normal
    Shell Width: Normal
    Cast Fill: Normal
    Shell: 2.0mm 45 Duro Milled Cork/EVA Base
    Rearfoot Posting: Integrated
    Additional: Integrated Arch Fill
    Covers: Full Length 1/16” Perforated Puff Top, Integrated Bottom

  • Poly Hybrid Diabetic Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep
    Shell Width: Wide
    Cast Fill: Normal
    Shell: Aliplast XPE + 3/32” Polypropylene
    Rearfoot Posting: None
    Additional: None
    Covers: Full Length “8/8” Pink BiLam (PPT + Plastazote) Top, HR EVA Bottom

  • White EVA DMII Insole Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep
    Shell Width: Wide
    Cast Fill: Light
    Shell: 35 Duro Milled White EVA Base
    Rearfoot Posting: Integrated
    Additional: Integrated Arch Fill
    Covers: Full Length “6/6” Pink BiLam (PPT + Plastazote) Top, Integrated Bottom

  • Cork EVA DMII Insole Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep
    Shell Width: Wide
    Cast Fill: Light
    Shell: 55 Duro Milled Cork/EVA Base
    Rearfoot Posting: Integrated
    Additional: Integrated Arch Fill
    Covers: Full Length “8/8” Pink BiLam (PPT + Plastazote) Top, Integrated Bottom

  • UCBL Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Extra Deep (24mm)
    Shell Width: Wide + Medial & Lateral Flange
    Cast Fill: Light
    Shell: Polypropylene Semi-Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: None
    Covers: None

  • Whitman Roberts Device Defaults

    Heel Bisection: Inverted 2°
    Heel Cup: Deep + 2° Medial Heel Skive
    Shell Width: Wide + Medial Flange + Lat Clip
    Cast Fill: Light
    Shell: Polypropylene Semi-Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: None
    Covers: None

  • In-Toeing Gait Plate (promotes out-toeing) Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep
    Shell Width: Wide + Medial Flange + Lat Clip
    Cast Fill: Light
    Shell: Polypropylene Semi-Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: Shell extension @ 4th & 5th Met
    Covers: None

  • Out-Toeing Gait Plate (promotes in-toeing) Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep
    Shell Width: Wide + Medial Flange + Lat Clip
    Cast Fill: Light
    Shell: Polypropylene Semi-Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: Shell extension @ 1st
    Covers: None

  • Achilles Tendinitis Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Normal + 3° Medial Heel Skive
    Shell Width: Wide
    Cast Fill: Normal
    Shell: Polypropylene Semi Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0° with No Lateral Bevel
    Additional: 3mm Heel Lift
    Covers: Full Length 1/8” Puff EVA Top

  • Adult Acquired Flatfoot (also, PTTD) Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep + 3° Medial Heel Skive
    Shell Width: Wide + Medial Flange
    Cast Fill: Normal
    Shell: Polypropylene Semi Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: None
    Covers: Full Length 1/8” Puff EVA Top

  • Calcaneal Apophysitis Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep + 3° Medial Heel Skive
    Shell Width: Wide
    Cast Fill: Light
    Shell: Polypropylene Semi Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: 3mm Heel Lift, Heel Cushion
    Covers: Full Length 1/8” Puff EVA Top

  • Hallux Limitus (also, HAV/Bunion) Device Defaults

    Heel Bisection: Inverted 3°
    Heel Cup: Normal + 3° Medial Heel Skive
    Shell Width: Wide
    Cast Fill: Light
    Shell: Polypropylene Semi Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: Reverse Morton’s Extension
    Covers: Full Length 1/8” Puff EVA Top

  • In-Toeing Gait Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep
    Shell Width: Wide + Medial Flange + Lat Clip
    Cast Fill: Light
    Shell: Polypropylene Semi-Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: Shell extension @ 4th & 5th Met
    Covers: None

  • Out-Toeing Gait Plate (promotes in-toeing) Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep
    Shell Width: Wide + Medial Flange + Lat Clip
    Cast Fill: Light
    Shell: Polypropylene Semi-Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: Shell extension @ 1st
    Covers: None

  • Lateral Ankle Instability Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Normal + 2° Medial Heel Skive
    Shell Width: Wide
    Cast Fill: Light
    Shell: Polypropylene Semi Rigid by Weight
    Rearfoot Posting: Crepe Firm (Lateral Only) @ 0°/0°, No Lateral Bevel
    Additional: Reverse Morton’s Extension @ 3° Lateral
    Covers: Full Length 1/8” Puff EVA Top

  • Lateral Column Overload (also, P.Tendonitis) Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Normal + 2° Medial Heel Skive
    Shell Width: Wide
    Cast Fill: Light
    Shell: Polypropylene Semi Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: EVA (Medium) Lateral Arch Fill, Reverse Morton’s Extension
    Covers: Full Length 1/8” Puff EVA Top

  • Metatarsalgia Device Defaults

    Heel Bisection: Inverted 2°
    Heel Cup: Normal
    Shell Width: Wide
    Cast Fill: Light
    Shell: Polypropylene Semi Rigid by Weight, No Distal Edge Bevel
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: 3mm Metatarsal Raise
    Covers: Full Length 1/8” Poron Extension, 1/8” Puff EVA Top, Scrim Bottom

  • Neuroma Device Defaults

    Heel Bisection: Inverted 2°
    Heel Cup: Normal
    Shell Width: Wide
    Cast Fill: Light
    Shell: Polypropylene Rigid by Weight
    Rearfoot Posting: None
    Additional: 3mm Metatarsal Pad
    Covers: Full Length 1/8” Poron Forefoot Extension, 1/8” Puff EVA Top, Scrim Bottom

  • Pediatric Flatfoot Device Defaults

    Heel Bisection: Inverted 2°
    Heel Cup: Deep + 2° Medial Heel Skive
    Shell Width: Wide + Medial Flange + Lat Clip
    Cast Fill: Light
    Shell: Polypropylene Semi-Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: None
    Covers: None

  • Pes Cavus with Rigid Forefoot Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep
    Shell Width: Wide
    Cast Fill: Light
    Shell: Polypropylene Rigid by Weight
    Rearfoot Posting: Polypropylene @ 0°/0°, No Lateral Bevel
    Additional: 3mm Heel Lift, Reverse Morton’s Extension @ 3° Lat., 3mm Met. Pad
    Covers: Full Length 1/8” Puff EVA Top

  • Plantar Fasciitis due to Everted Rearfoot Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep + 3° Medial Heel Skive
    Shell Width: Wide
    Cast Fill: Light
    Shell: Polypropylene Rigid by Weight
    Rearfoot Posting: None
    Additional: None
    Covers: Full Length 1/8” Puff EVA Top

  • Plantar Fasciitis due to Forefoot Valgus Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Normal
    Shell Width: Wide
    Cast Fill: Normal
    Shell: Polypropylene Rigid by Weight
    Rearfoot Posting: None
    Additional: Reverse Morton’s Extension
    Covers: Full Length 1/8” Puff EVA Top

  • Sesamoiditis Device Defaults

    Heel Bisection: Inverted 3°
    Heel Cup: Normal + 2° Medial Heel Skive
    Shell Width: Wide
    Cast Fill: Light
    Shell: Polypropylene Semi Rigid by Weight, No Distal Edge Bevel
    Rearfoot Posting: None
    Additional: Reverse Morton’s Extension
    Covers: Full Length 1/8” Puff EVA Top

  • Sinus Tarsi Syndrome Device Defaults

    Heel Bisection: Perpendicular
    Heel Cup: Deep + 2° Medial Heel Skive
    Shell Width: Wide
    Cast Fill: Light
    Shell: Polypropylene Semi Rigid by Weight, No Distal Edge Bevel
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: Reverse Morton’s Extension
    Covers: Full Length 1/8” Puff EVA Top

  • Tarsal Tunnel Syndrome Device Defaults

    Heel Bisection: Inverted 2°
    Heel Cup: Deep + 3° Medial Heel Skive
    Shell Width: Wide
    Cast Fill: Light
    Shell: Polypropylene Semi Rigid by Weight, No Distal Edge Bevel
    Rearfoot Posting: Polypropylene @ 0°/0°
    Additional: 4mm Heel Lift
    Covers: Full Length 1/8” Puff EVA Top

  • Continue (Next) to Customize This Template

  • SELECT ONE SKIVE PER FOOT ONLY
    *   
    HEEL SKIVE CANNOT BE BOTH MEDIAL AND LATERAL ON THE SAME FOOT

  • Medial Heel Skive Depth

  • Lateral Heel Skive Depth

  • Image field 133
  • Image field 136

  • Arch Fill (under shell)

  • Integrated Arch Fill is Intrinsic to Device

  • Forefoot Posting

  • Right Foot Correction

  • Left Foot Correction

  • Rear Foot Posting

  • Right Foot Correction

  • Left Foot Correction

  • CHANGE SHELL MATERIAL OR REAR FOOT POSTING MATERIAL
    *   
    POLYPROPYLENE REAR FOOT POST REQUIRES POLYPROPYLENE SHELL

  • Heel Lift (requires extrinsic rear foot post)

  • Shell Modifications

  • Image field 165

  • SELECT ONE MORTON'S EXTENSION TYPE PER FOOT ONLY
    *   
    MORTON'S EXTENSION CANNOT BE BOTH RIGID AND FLEXIBLE ON THE SAME FOOT

  • Image field 169

  • REMOVE EITHER RIGID MORTON'S -OR- 1st RAY SHELL CUT OUT
    *   
    RIGID MORTON'S AND 1st RAY SHELL CUT OUT CANNOT BE ON THE SAME FOOT

  • Image field 172

  • Plantar Fascia Groove Depth is 3mm

  • Image field 183

  • CHANGE SHELL MATERIAL -OR- REMOVE HEEL HOLE
    *   
    NW DBX6 IS NOT COMPATIBLE WITH HEEL HOLE

  • Additions

  • Image field 208

  • Metatarsal Pad Gauge is 3mm

  • Image field 210

  • Metatarsal Raise Gauge is 3mm

  • Image field 212

  • REMOVE EITHER METATARSAL PAD -OR- METATARSAL BAR
    *   
    METATARSAL PAD AND METATARSAL BAR CANNOT BE ON THE SAME FOOT

  • Metatarsal Bar Gauge is 6mm

  • Image field 214

  • Scaphoid/Arch Pad Gauge is 3mm

  • Image field 216
  • Image field 218

  • SELECT ONE MORTON'S EXTENSION TYPE PER FOOT ONLY
    *   
    MORTON'S EXTENSION CANNOT BE BOTH RIGID AND FLEXIBLE ON THE SAME FOOT

  • Image field 220

  • SELECT ONE MORTON'S EXTENSION TYPE PER FOOT ONLY
    *   
    MORTON'S EXT. AND REVERSE MORTON'S EXT. CANNOT BE ON THE SAME FOOT

  • Image field 222
  • Image field 224

  • REMOVE EITHER HORSESHOE HEEL SPUR PAD -OR- HEEL CUSHION
    *   
    HORSESHOE HEEL SPUR PAD AND HEEL CUSHION CANNOT BE ON THE SAME FOOT

  • Reliefs

    • Right Foot: Add Additional Forefoot or Shell Reliefs (tap arrow to expand list) 
    • Left Foot: Add Additional Forefoot or Shell Reliefs (tap arrow to expand list) 

  • Forefoot Extension

  • Cushion Layer

  • Top Cover

  • Top Cover Length of Vinyl, Leather, or Ultrasuede will match the longest device material.


  • TOP COVER LENGTH IS SHORTER THAN DEVICE LENGTH!
    VERIFY SHELL MODIFICATIONS, ADDITIONS, EXTENSIONS, AND CUSHION LAYERS;
    INCREASE TOP COVER LENGTH TO COVER ALL DEVICE COMPONENTS.

  • Bottom Cover

  • Bottom Cover Length will match the longest device material.

  • Integrated Bottom Cover is Intrinsic to Device

  • Should be Empty: