Assesment: Diabetes poor circulation both feet.
Plan: Order diabetic shoes and 3 pairs of custom inserts. Patient meets qualifications due to poor circulation. Custom inserts casted for today using impression foam. Custom inserts better for this patient to help offload the trouble area of his feet. Both feet measured a 10 wide. The patient will receive the shoes when all the paperwork is filled out by his PCP.
Return to office 9 weeks for continued diabetic foot care.
Dr. Jones agrees with this exam and that the patient qualifies for a pair of diabetic shoes and inserts.
Joe Smith DPM Date Signed
Seth Jones MD Date Signed