Balance, Comfort and Function

Place your Order Here

Send Us a Case

Once the form is received by our office, you will be sent a invitation with 24-48 hours to begin order placement.

Practice Name*
Email*
Doctor Name*
First Last
Doctor License Number
Office Address*
Street Address Address Line 2 City State ZIP Code
Initials
This field is for validation purposes and should be left unchanged.

We are using a software called EasyRX the software does provide online training to learn how to properly send a prescription to our lab.

Serving The Surrounding Communities:
Supply NC • St. James NC • Oak Island NC • Boiling Spring Lakes NC • Southport NC
Bolivia NC • Winnabow NC • Shallotte NC • Holden Beach NC • Ocean Isle Beach NC
Sunset Beach NC • Calabash NC • Leland NC • Wilmington NC

Send A Case

How To Order Payment Options