Innovative Neutronics WalkAide - WalkAide User Statement of Understanding; Patient and Practitioner Agreement Form

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8.0 WalkAide User Statement of Understanding
I,____________________, have reviewed the contents of the
WalkAide System User Manual with my practitioner. I
understand the general operating instructions and general
maintenance of the WalkAide System. I have been advised to
follow the wearing schedule and been advised to contact my
practitioner immediately with any questions I may have with
the WalkAide System.
Print Patient Name: Date:
Patient Signature: Date:
Practitioner Signature: Date: