Anaplastology brings art and science together to providing custom-designed and fitted
extraoral and non-weight bearing prostheses to individuals living with anatomical
anomalies, such as congenital absence of a body part, amputation from trauma or loss
The anaplastologist’s work is based on a clinical assessment and physician’s referral to support, modify, replace, protect, or restore an anatomical structure in the most realistic manner possible. We collaborate closely with each patient’s rehabilitation team to ensure that our care meets the goals of the team and the patient.
Please review and complete the following forms before your first appointment:
ON YOUR APPOINTMENT DAY, PLEASE BRING THE FOLLOWING:
Patients visiting us for a facial prosthesis (ear, nose, or eye with eyelids)
Please note: You are responsible for the full price of the prosthesis on delivery. We will include an initial cost estimate based on the information we have from the doctor’s referral. Please ask us if you have any questions concerning the billing procedures of this office. Please take your time to review our Warranty and Payment Policies Acknowledgment.
Please also review the supplier standards for our Clinic.
Physicians can refer patients by sending Referral Form and Certificate of Medical Necessity as well as physician notes to: