---
title: Resources for Foot Care Professionals & Clinics
description: Explore referral tools, diabetic footwear guidance and clinician resources for therapeutic shoes and orthotics.
image: https://www.priorityfootwear.com/hubfs/featured-image-male-orthopedist-examining-patient-foot-in-clinic-for-specific-foot-conditions-for-professionals-ai02.webp
---
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- [About](https://www.priorityfootwear.com/about-us)
- [Process](https://www.priorityfootwear.com/the-process)
- [Locations](https://www.priorityfootwear.com/locations)
- [Contact](https://www.priorityfootwear.com/contact)
- [Products](https://www.priorityfootwear.com/our-products)
Show submenu for Products
- [Therapeutic Shoes](https://www.priorityfootwear.com/diabetic-footwear)
- [Custom Inserts](https://www.priorityfootwear.com/custom-orthotics)
- [FAQs](https://www.priorityfootwear.com/faq)
- [Providers](https://www.priorityfootwear.com/for-professionals)
- [About](https://www.priorityfootwear.com/about-us)
- [Process](https://www.priorityfootwear.com/the-process)
- [Locations](https://www.priorityfootwear.com/locations)
- [Contact](https://www.priorityfootwear.com/contact)
- [Products](https://www.priorityfootwear.com/our-products)
Show submenu for Products
- [Therapeutic Shoes](https://www.priorityfootwear.com/diabetic-footwear)
- [Custom Inserts](https://www.priorityfootwear.com/custom-orthotics)
- [FAQs](https://www.priorityfootwear.com/faq)
- [Providers](https://www.priorityfootwear.com/for-professionals)
[ ](https://www.priorityfootwear.com/hs/cta/wi/redirect?encryptedPayload=AVxigLIg6qHERACDMkg%2B%2FlBNEvh56fgu1xl8mzL3tLeQ6D9NLUE%2Bhe39AFkumrL6XYOHDvxyKu4y0JJmyLPAKzcALXIbadHF8wcfaywU4s2IH%2FY6IGLM3%2FRukRGHrtUgh5Q83WLarVwKCb%2FDVFfPKanofgEcVi8%3D&webInteractiveContentId=203832010841&portalId=49816697)
- [
For Professionals
](https://www.priorityfootwear.com/for-professionals)
# Healthcare Professionals, We Support Your Patient Care
[ ](https://cta-service-cms2.hubspot.com/web-interactives/public/v1/track/redirect?encryptedPayload=AVxigLK3BGiqQsKU5NGCRKn7j8BhUz%2Bux1pAD3baE%2FeAeuwqIMkZfVhdfiK7QjTiGKiiX3oL25cfbVZnN6m1XMxu0AHMRtnW0zi5mthQK8k7Y4Woc%2BmmKio6G5%2BtW8jRu%2FtkoGyo2VJBzAvVb2nMjxW%2Be3GPI9p1tDtQls3j3BUelAn%2BGXz0IyJB2jBEp1ItxfsgkQ%3D%3D&webInteractiveContentId=207167889502&portalId=49816697)
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[ ](https://cta-service-cms2.hubspot.com/web-interactives/public/v1/track/redirect?encryptedPayload=AVxigLK3BGiqQsKU5NGCRKn7j8BhUz%2Bux1pAD3baE%2FeAeuwqIMkZfVhdfiK7QjTiGKiiX3oL25cfbVZnN6m1XMxu0AHMRtnW0zi5mthQK8k7Y4Woc%2BmmKio6G5%2BtW8jRu%2FtkoGyo2VJBzAvVb2nMjxW%2Be3GPI9p1tDtQls3j3BUelAn%2BGXz0IyJB2jBEp1ItxfsgkQ%3D%3D&webInteractiveContentId=207167889502&portalId=49816697)
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[Medicare Form](https://www.priorityfootwear.com/hubfs/Medicare%20Cert%20DM%20FE%20%20Version%202.2%20PDX.pdf?hsCtaAttrib=204617387110)
[Non Medicare Form](https://www.priorityfootwear.com/hubfs/Non+Medicare+Certification+v2.0+PORTLAND+Fillable.pdf?hsCtaAttrib=204817766560)
Podiatry Form
### FOR PROFESSIONALS
## Partnering With Healthcare Professionals to Improve Diabetic Foot Health
At Priority Footwear, we partner with physicians, podiatrists, and healthcare organizations to help patients with diabetes live more comfortably and safely. Through the Medicare Therapeutic Shoe Bill, eligible patients can receive diabetic shoes and custom orthotics that reduce foot complications, improve mobility, and drastically lower the risk of ulcers and amputations — all at little or no cost to them.
Our mission is to make this process effortless for both providers and patients, so you can focus on what you do best: caring for your patients.
[ Get Started ](https://www.priorityfootwear.com/the-process)
## About the Medicare Therapeutic Shoe Bill
The Medicare Therapeutic Shoe Bill (T.S.B.), established in 1993, allows qualifying diabetic patients to receive one pair of therapeutic shoes and up to three pairs of inserts per year.
Medicare recognizes that proper footwear plays a vital role in preventing ulcers, infections, and amputations in patients with diabetes. This program is covered under Medicare Part B and most private insurance plans.
At Priority Footwear, we ensure the process is fully compliant with Medicare requirements, from documentation to fitting and delivery.
# For Professionals: Partnering to Improve Diabetic Foot Health
At Priority Footwear, we partner with physicians, podiatrists, and healthcare organizations to help patients with diabetes live more comfortably and safely. Through the Medicare Therapeutic Shoe Bill, eligible patients can receive custom-fitted diabetic shoes and orthotics that reduce foot complications, improve mobility, and drastically lower the risk of ulcers and amputations — all at little or no cost to them.
Our mission is to make this process effortless for both providers and patients — so you can focus on what you do best: caring for your patients.
[ Get Started ](https://www.hubspot.com/)
## About the Medicare Therapeutic Shoe Bill
The Medicare Therapeutic Shoe Bill (T.S.B.), established in 1993, allows qualifying diabetic patients to receive one pair of therapeutic shoes and up to three pairs of inserts per year.
Medicare recognizes that proper footwear plays a vital role in preventing ulcers, infections, and amputations in patients with diabetes. This program is covered under Medicare Part B and most private insurance plans.
At Priority Footwear, we ensure the process is fully compliant with Medicare requirements — from documentation to fitting and delivery.
## Why Partner with Priority Footwear
We know that today’s providers are balancing patient care with heavy administrative workloads and the daily demands of running a practice. That’s why we handle everything from start to finish, so your staff doesn’t have to.
Here’s how partnering with us helps you and your patients:
###### Improved Patient Outcomes
Reduce diabetic complications through proper footwear and education.
###### Lower Amputation Risk
Provide patients with protective, supportive footwear designed to prevent injuries and ulcers.
###### Practice Efficiency
We handle everything so you don't have to. Offload paperwork, eligibility checks, and patient follow-up to our trained staff.
###### Enhanced Patient Satisfaction
Provide patients with immediate solutions that improve comfort and confidence.
###### Compliance Peace of Mind
We ensure every step meets Medicare and insurance documentation standards.
###### Experience You Can Trust : 25+ Years in Diabetic Footwear
We’ve worked closely with physicians and insurance carriers for over two decades to ensure patients receive compliant, high-quality care.
Here’s how partnering with us helps you and your patients:
- **Improved Patient Outcomes** – Reduce diabetic complications through proper footwear and education.
- **Lower Amputation Risk** – Provide patients with protective, supportive footwear designed to prevent injuries and ulcers.
- **Practice Efficiency** – Offload paperwork, eligibility checks, and patient follow-up to our trained staff.
- **Enhanced Patient Satisfaction** – Provide patients with immediate solutions that improve comfort and confidence.
- **Compliance Peace of Mind** – We ensure every step meets Medicare and insurance documentation standards.
**Experience You Can Trust — 25+ Years in Diabetic Footwear**
We’ve worked closely with physicians and insurance carriers for over two decades to ensure patients receive compliant, high-quality care.
**We Handle Everything So You Don’t Have To**
From verifying eligibility and collecting forms to scheduling and fitting, our trained staff manages every detail.
**Compliance and Efficiency for Busy Providers**
We handle all documentation and communication, reducing administrative burden while ensuring every claim meets Medicare standards.
## Your Role as a Medical Provider
We keep your involvement simple and minimal while ensuring your patients get the care they need.
###### 1
### Introduce the Program to Eligible Patients
Let your diabetic patients know they may qualify for shoes and orthotics covered by Medicare or insurance.
*  *
###### 2
### Refer Your Patients to Priority Footwear
Direct your patients to their nearest Priority Footwear clinic or provide their contact information, and we'll take it from there.
*  *
###### 3
### Complete and Sign the Two-Page Provider Form
Fill out and sign our simple two-page certification form verifying diagnosis and qualifying conditions.
*  *
## Your Role as a Medical Provider
We keep your involvement simple and minimal while ensuring your patients get the care they need.
- **Step 1: Introduce the Program to Eligible Patients**
Let your diabetic patients know they may qualify for shoes and orthotics covered by Medicare or insurance.
- **Step 2: Refer Your Patients to Priority Footwear**
Direct your patients to their nearest Priority Footwear clinic or provide their contact information, and we’ll take it from there.
- **Step 3: Complete and Sign the Two-Page Provider Form**
Fill out and sign our simple two-page certification form verifying diagnosis and qualifying conditions.
Download the Medical Provider Form
[ Form ](https://www.hubspot.com/)
## How to Complete and Submit the Provider Form
Once your portion of the form is completed, submitting it is easy and convenient.
**Download the Medical Provider Form**
Use the link above to download and print the form.
**Sample Form With Signature Field**
Below is an image showing where you, the provider, need to sign and date the form to complete your portion.
*(Insert image of the form with highlighted signature areas.)*
**Submit via Email, Fax, or Mail**
- **Email:** info@priorityfootwear.com
**Fax:** [Insert fax number]
**Mail:** Priority Footwear
10240 SW Nimbus Ave l1, Portland, OR 97223
If you’d like printed copies of the form for your office, our team will gladly provide them. Simply contact us at 866-557-3478 or at info@priorityfootwear.com
## How to Complete and Submit the Provider Form
Once your portion of the form is completed, submitting it is easy and convenient.
### Medicare Form
Click the button below to download and print the Medicare form.
[ ](https://www.priorityfootwear.com/hs/cta/wi/redirect?encryptedPayload=AVxigLLj9f0DpDiDh0%2Fn8PsSHXPROR4WXBkwmjbfrksP8zLe%2Fxb3f2beBQEX6uONd8rMXmmrXOnrjjNMykd7h%2BeHhN%2BtxtTfZanOdib2n9ZRpCNebHCe2bKFfXEMtr3YS2jKBu1beKqZugLPNMjQ8XiclEH27YLMjtnOBy7agQHHA4l56DpbfO1lGVOsrGQJO6B4OnB1vkJTJ6tFRZjgn8F6KKt8J%2Bfs9%2BAAj8IKqXK7OUpf36oBHL5vwhEagbZKTg%3D%3D&webInteractiveContentId=204617387110&portalId=49816697)
### Non-Medicare Form
Click the button below to download and print the non-medicare form.
[ ](https://www.priorityfootwear.com/hs/cta/wi/redirect?encryptedPayload=AVxigLL98v63B1DMzMedEGoewsQSzHsn9k4OGUy3oPeit5JWIo%2BV88Z%2FhbWFDX%2B17YIc4gUbwEaDXq6Szc0IVGQJPagDTYkIz%2F4TBeIwpkyvWJW8m65N8%2BAZG9%2BmLvOE5PELFX5lQbSa%2BlJpfc%2BtWt8MoS8ZcwNeGhnO1Mtv0eqoWpvLjRYU0poJrFDAy4ADbj%2FtaLxtRI6oqf446aj8gumMkP3FE7K3JBq%2BqIrOqssrkDPaY5FKqYH11sl7wTH%2F&webInteractiveContentId=204817766560&portalId=49816697)
### Podiatry Form
Click the button below to download and print the Podiatry form.
[ ](https://www.priorityfootwear.com/hs/cta/wi/redirect?encryptedPayload=AVxigLJvx36vsnwtAZLJqz9A1NiN%2Bet6R54M4CPIpahCRlTOdtWQp0sECHlEWPRQ8DRqOpa79CIBan%2Fmvag4%2FZ8vZg8Rn8jKiFE3aKXU04arz3n4f08mFYv%2BIFMs%2BfsRv9coNtnC%2B6qlnlVk2r5hI%2BnOW0d71w8Opn68ae6yktysK9PbRAfiMWKEmGn3%2BhE1t2zhEQOlmdKXTD%2F93yO2%2BV0Byw%2BN6UChd6851%2B1sf%2FJR4TNMCxa4CeupwxedinM9U6RBLMPJFZDS9mm6rQ%3D%3D&webInteractiveContentId=206975387144&portalId=49816697)
### Submit via Email, Fax, or Mail
**Email:** [info@priorityfootwear.com](mailto:info@priorityfootwear.com)
**Fax:** (503) 524-8397
**Mail:
**Priority Footwear
10240 SW Nimbus Ave l1
Portland, OR 97223
If you’d like printed copies of the form for your office, our team will gladly provide them.
Simply contact us at (866) 557-3478 or email us at info@priorityfootwear.com
### PARTNER WITH US
## Improve Patient Outcomes
Join hundreds of healthcare providers who trust Priority Footwear to care for their diabetic patients. Together, we can improve outcomes, reduce amputation risk, and simplify the process for everyone involved.
[ ](https://cta-service-cms2.hubspot.com/web-interactives/public/v1/track/redirect?encryptedPayload=AVxigLIOx%2B%2FMBG2GC9jQ802qpHaQrf2iYWh8%2B5J6Dc1f2QdGl8dV3SNGVLSmIlRNqLJKF%2BF%2FSfJO2ZqR%2B0vwr0vqMXgZ4gXhYPf4YtbG%2FrvG6tTF3BD6tYmC%2FCFkPrIoJQktANG4mV%2F%2FaBfMsMZPUG3JxavXygwT%2BKCUJJDgDhGHW1x5exY8eYdaCe5wjvnNQ6Y%3D&webInteractiveContentId=204621354369&portalId=49816697)
## Partner with Us to Improve Patient Outcomes
Join hundreds of healthcare providers who trust Priority Footwear to care for their diabetic patients. Together, we can improve outcomes, reduce amputation risk, and simplify the process for everyone involved.
[Contact Us ](https://www.priorityfootwear.com/contact)
## Partner With Us to Improve Patient Outcomes
Join hundreds of healthcare providers who trust Priority Footwear to care for their diabetic patients. Together, we can improve outcomes, reduce amputation risk, and simplify the process for everyone involved.
[ Contact Us ](https://www.hubspot.com/)
- Improved Patient Outcomes
Reduce diabetic complications through proper footwear and education.
- Lower Amputation Risk
Provide patients with protective, supportive footwear designed to prevent injuries and ulcers.
- Practice Efficiency
Offload paperwork, eligibility checks, and patient follow-up to our trained staff.
- Enhanced Patient Satisfaction
Provide patients with immediate solutions that improve comfort and confidence.
- Compliance Peace of Mind
We ensure every step meets Medicare and insurance documentation standards.
ABOUT US
- [About](https://www.priorityfootwear.com/about-us)
- [Process](https://www.priorityfootwear.com/the-process)
- [Locations](https://www.priorityfootwear.com/locations)
- [Medical Forms](https://www.priorityfootwear.com/medical-forms)
- [Providers](https://www.priorityfootwear.com/for-professionals)
FOOTWEAR
- [Products](https://www.priorityfootwear.com/our-products)
HAVE A QUESTION?
- [Find A Location](https://www.priorityfootwear.com/locations)
- [Contact Us](https://www.priorityfootwear.com/contact)
- [FAQs](https://www.priorityfootwear.com/faq)
**CONTACT**
Mon - Fri: 9:00am - 5:00pm PST
Sat - Sun: Closed
- (866) 557-3478
- [
info@priorityfootwear.com
](mailto:info@priorityfootwear.com)
- Portland, Oregon
-
-
[ ](https://www.priorityfootwear.com)
`Notice of Privacy Policy | Privacy Policy | Patient Bill of Rights | Cookies Policy | Terms of Use | Notice of Good Faith`
Copyright © 2026 Priority Footwear. All Rights Reserved.
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