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Texas Board of Orthotics and Prosthetics Statement Regarding Diabetic, Orthotic, and Certified Shoe
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Texas Board of Orthotics and Prosthetics Statement Regarding Diabetic, Orthotic, and Certified Shoe Fitters

In recent weeks, the Texas Board of Orthotics and Prosthetics has fielded many questions regarding Diabetic, Orthotic, and Certified Shoe Fitting.  As a result, the Board has prepared the following statement to address this emerging field and the practitioners within it.

The Texas Orthotics and Prosthetics Act (Texas Occupations Code, Chapter 605) includes in its definition of the practice of orthotics, the fitting of a custom-fitted or custom-fabricated device.  These definitions are outlined in Sections 605.002 (3), (4), (12), and (14).  Any individual who custom fits a diabetic or other shoe through means of moldable inserts or other methods, regardless of where the final shoe is manufactured, is practicing orthotics and must be licensed under the Texas Orthotics and Prosthetics Act, unless exempt (see below).

Professional certifications from private educational companies do not constitute Texas licensure.  Any unlicensed individual who is discovered to be practicing orthotics in this manner will be subject to enforcement action which may include administrative, civil, and criminal penalties.

The Act does recognize several professions that are exempt from these provisions.  Exempt professions are limited to licensed podiatrists, chiropractors, occupational therapists, physical therapists, and pharmacists. Certified pedorthists are also exempt from licensure under the Texas Orthotics and Prosthetics Act.

Furthermore, the sale of retail shoes, over-the-counter or out of the box, is not subject to the Texas Orthotics and Prosthetics Act.

Any questions or concerns regarding this matter may be referred to the Board through the contact information provided below.

Texas Board of Orthotics & Prosthetics
Mail Code 1982
P.O. Box 149347
Austin, Texas 78714-9347
E-mail: mailto:op@dshs.state.tx.us%20
Telephone: (512) 834-4520
Fax: (512) 834-6677 ATTN:  Texas Board of Orthotics & Prosthetics