(a) A licensed prosthetist, licensed orthotist, or licensed prosthetist/orthotist may provide services utilizing new prostheses or orthoses for which he or she is licensed and only under a written order from an authorized health care practitioner. A consultation with and periodic review by an authorized health care practitioner is not required for the evaluation, repair, adjusting, or servicing of a prosthesis by a licensed prosthetist, or licensed prosthetist/orthotist and for the evaluation, repair, adjusting, or servicing of an orthosis by a licensed orthotist, or licensed prosthetist/orthotist; nor is an order from an authorized health care practitioner required for maintenance or replacement of an orthosis or prosthesis to the level of its original prescription for an indefinite period of time if the original order remains appropriate for the patient’s medical needs.

Terms Used In Alabama Code 34-25A-4

  • AUTHORIZED HEALTH CARE PRACTITIONER: A physician licensed to practice medicine or a person licensed or authorized to practice podiatry pursuant to Article 6 (commencing with Section 34-24-230) of Chapter 24. See Alabama Code 19-3-85
  • following: means next after. See Alabama Code 30-3D-608
  • orthosis: A custom-fabricated, definitive brace or support that is designed for long-term use. See Alabama Code 19-3-85
  • ORTHOTIC SUPPLIER: A person registered with the board who is employed by or has a contractual relationship with a manufacturer of orthoses or orthosis components and who has complied with the registration requirements of the board. See Alabama Code 19-3-85
  • orthotist: A person licensed to practice orthotics under this chapter. See Alabama Code 19-3-85
  • person: includes a corporation as well as a natural person. See Alabama Code 30-3D-608
  • physician: A person who is a doctor of medicine or a doctor of osteopathy licensed to practice. See Alabama Code 19-3-85
  • prosthesis: A definitive artificial limb that is alignable or articulated or, in lower extremity applications, capable of bearing weight. See Alabama Code 19-3-85
  • prosthetist: A person who is licensed to practice prosthetics under this chapter. See Alabama Code 19-3-85

(b) Prosthetists and orthotists must refer persons receiving service to authorized health care practitioners if they have reasonable cause to believe symptoms or conditions are present that require services beyond the scope of their practice or for which the prescribed prosthetic or orthotic service is contraindicated.

(c) An orthotic supplier may engage in one or more of the following: Evaluating, measuring, designing, fabricating, assembling, fitting, adjusting, servicing, repairing, replacing, or delivering orthoses. An orthotic supplier may provide orthoses in hospitals, rehabilitation facilities, physician‘s offices, physician’s clinics, or other sites as required. An orthotic supplier shall provide orthoses based on a written prescription from an authorized health care practitioner and under the supervision of such authorized health care practitioner.

(d) No person licensed under this chapter shall provide services to a patient without being in the physical presence of the patient.

(Act 2002-527, p. 1376, §4; Act 2013-422, p. 1680, §2.)