Thank you for trusting R.J. Hedges & Associates with your compliance needs!  Completing this questionnaire provides us with all the information needed to complete your customized Diabetic Shoe Program.
We know you are busy and may not be able to complete this questionnaire in one sitting.  Using the Stop and Return feature, you can save your work and come back as many times as needed.  Please be sure to complete all required fields accurately.  You can amend any answer up until you submit the form.
When completed, you will be prompted to pay $500 via PayPal.  Once payment is confirmed, one of our Project Managers will customize your files and grant you access to the Compliance PortalĀ®. If you have any questions, you may always send questions to or call 724-357-8380