Orthoses and Footwear Not Obtained Through Medical Grade Footwear - Maintenance and Repair

DVA accepts financial responsibility for items not covered under the warranty period.

Order Form – Mobility and Functional Support – D0992

RAP item number
AR27
RAP item category
Footwear not obtained through Medical Grade Footwear Program
Is this a contracted item

Yes, Mobility & Functional Support

Is prior approval required

No