If you experience sudden neck or back pain, numbness or
tingling, contact your doctor.
Doctor’s Name/Number: ____________________________
If you have any problems or questions about the use
and care of your brace, contact your doctor or orthotic
professional.
Orthotist Name/Number:
____________________________
These instructions do not supercede the specific orders of
your physician.
FOLLOW-UP
Time: ________________ Location: ____________________
ADDITIONAL INSTRUCTIONS
