Request for Information Form

Please send me the following

  • Information Packet (contains all product catalogs, order forms, and prepaid mailing labels)
  • Custom Orthotic Catalog
  • Ped Pillows™ Pre-Fabricated Orthotics Catalog
  • The Richie Brace® Catalog
  • Marathon Leather Gauntlet Catalog
  • Medicare Compliant Diabetic 3-Pair Custom Inserts & Shoe Program Catalog
  • Marathon Night Splints

Order Forms

  • Custom Orthotic Prescription Form
  • Ped Pillows™ Order Forms
  • The Richie Brace® Order Forms
  • Shoe Order Form
  • Shoe Return Form
  • pw minor shoe return form
  • Marathon Gauntlet Order Form
  • Custom Orthotics Info. Brochure (for in office distribution to patients)
  • UPS labels (for current accounts)
  • USPS labels

Please enter the following information

* = Required

If you are a patient seeking custom orthotics, please note that we do not distribute our products to the general public. For more information please see a medical professional.

Thank you for your interest in Marathon Orthotics, Inc.

Become a Client