Made for your feet. Nobody else's.
Custom foot orthotics, ordered through your clinic and finished by hand in our lab.
Shaped to one person's foot.
Store insoles come in set sizes for anyone. A custom pair is made from a model of your foot and your practitioner's notes, then built for the shoes you name.
Made from your foot
Your clinic takes an impression or scan. We turn it into a model of your foot and build the shell over it.
Prescribed by your practitioner
Every pair follows the prescription your chiropodist, podiatrist, physiotherapist, chiropractor or doctor writes for you.
Built for your shoes
Thickness, length and shape change to suit the shoe the pair goes in, from work boots to heels.
Work boots, runners, loafers or heels.
Tell your practitioner which shoes you wear most. We build the pair to fit inside them, so you wear your orthotics instead of leaving them in a drawer.
It starts with a model of your foot.
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A model, then a shell
Your clinic takes an impression or scan of your foot. We make a model from it, then form the shell over the model by hand.
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Then we finish it by hand
A technician trims the shell to fit your shoe, adds anything your clinic asked for, and fits the top cover. The finished pair goes back to your clinic.
A style for every kind of shoe.
Each style changes the pair's thickness, length and shape to suit the shoe it goes in.
Casual
Full length, for everyday walking shoes. A balance of arch support and cushioning.
Semiflex
Supports the arch and flexes under load to absorb shock. Good for active days.
Rigid
Firm, to hold the heel and arch steady for strong control.
Athletic
Running, court and field shoes, with extra shock absorption.
Dress
Slim and low-profile for dress shoes, loafers and boots.
High heel
Very thin and narrow, shaped to the slope of pumps and wedges.
Fashion
Ultra-slim for flats, ballet shoes and other fashion footwear.
Diabetic
Cushioned and multi-layered to spread pressure and reduce friction on sensitive feet.
UCBL
A deep cup that wraps the heel and midfoot to hold the heel upright.
Children's and gait plates
For growing feet, including gait plates for in-toeing or out-toeing.
Over 30 years making orthotics.
A family-owned lab in Mississauga, Ontario, making custom pairs for clinics across Canada.
Ask your clinic about Gateway.
We make every pair from a clinic's impression and notes, so we don't take orders directly from the public. Book with a practitioner who prescribes orthotics and ask them to order from Gateway Orthotics.
Book a visit
See a chiropodist, podiatrist, physiotherapist, chiropractor or family doctor who prescribes orthotics.
Get assessed
They assess your feet, take an impression or scan, and send the order to our lab.
Pick up at your clinic
Your pair is ready 7 business days after we receive everything. Your clinic will tell you when to pick it up.
What patients ask us.
How do I get a pair?
Book a visit with a practitioner who prescribes orthotics. They assess your feet, take an impression, and send the order to our lab. You pick up the finished pair at the clinic.
Can I buy directly from you?
No. We only accept clinic orders, since each pair is built from the clinic's impression and notes. To get a pair, ask your clinic to order from Gateway Orthotics.
How is this different from a store insole?
Store insoles come in set sizes for anyone. A custom pair is made from your foot and your appointment notes, and it's built for the shoes you name.
How long does it take?
Turnaround is 7 business days after we receive everything from your clinic. The clinic will tell you when to pick it up.
Are custom orthotics covered by insurance?
It depends on your plan. Many extended health plans require a prescription and a clinic receipt. Check with your insurer first.
Do you make orthotics for children?
Yes. Children's pairs are smaller and shaped for kids' shoes. Ask your child's practitioner.
What if my pair needs adjusting?
Tell your clinic. Within 30 days of receiving the pair, the clinic can send it back for an adjustment at no cost.
What happens when the top cover wears out?
Your clinic can send the pair back. We re-cover and refurbish the pairs we make, so you don't always need a new pair.
A custom orthotics lab for your clinic.
Gateway Orthotics Inc. makes custom foot orthotics for practitioners and clinics across Canada. Send a scan or cast with your prescription, and we deliver a finished pair, ready to fit, in 7 business days.
From capture to fitting in five steps.
The 7 business day turnaround starts when we have both the prescription and the scan or cast.
Open an account
Request an account online, or call 905-565-0770 or 1-800-336-0875.
Prescribe
Assess the patient, take a scan or cast, and write the prescription.
Send the capture
Send the prescription with the scan, or drop off or ship the cast.
We make the pair
We make a model from the capture, form the shell over it and hand-finish the pair.
Fit your patient
The finished pair arrives at your clinic, ready to fit.
Scans and casts we accept.
Drop off foam boxes and slipper casts at the lab or ship them to us. We can also pick them up for a fee.
3D LiDAR / TrueDepth scans
Phone and tablet depth-sensor scans.
3D laser scans
From a dedicated foot scanner.
Foam box impressions
Drop off, ship or arrange a pickup.
Plaster slipper casts
Drop off, ship or arrange a pickup.
Ten types to prescribe from.
Casual
Full length, for everyday walking shoes. Balances arch support and cushioning.
Semiflex
Semi-rigid. Supports the arch and flexes under load to absorb shock. For active patients and mild flat feet.
Rigid
Firm. Holds the heel and arch in a controlled position for strong motion control. For overpronation.
Athletic
For running, court and field shoes. Combines arch control with extra shock absorption.
Dress
Slim and low-profile for flat or low-heeled dress shoes, loafers and boots.
High heel
Very thin and narrow, shaped to the slope of heeled shoes such as pumps and wedges.
Fashion
Ultra-slim for flats, ballet shoes and other fashion footwear.
Diabetic
Cushioned and multi-layer. Spreads pressure and reduces friction for at-risk feet.
UCBL
A deep plastic cup that wraps the heel and midfoot to hold the heel upright, often for flexible flat feet.
Children's and gait plates
For growing feet, including gait plates for in-toeing or out-toeing.
Shell types and options.
Every shell is formed over a model of your patient's foot, then trimmed and finished by hand.
- Construction
Hand-made over a model of your patient's foot, then trimmed and finished by hand.
- Thickness
- 2 mm3 mm4 mm
- Heel cup depth
- Deep, 20 mmMedium, 15 mmShallow, 5 mmHigh heel / fashion
- Shell modifications
1st ray and 1st met cut-outs · Medial and lateral flanges · Morton's and reverse Morton's extensions · Lateral clips
Additions and top covers.
On each prescription, specify the orthotic type, shell thickness and heel cup, shell modifications, soft additions, and the top cover, cushioning and length.
Soft additions
Metatarsal pads, bars and raises · Arch pads · Heel cushions · Horseshoe pads. Others are available, set for each foot.
Top cover materials
Leather, vinyl, Spenco, Plastazote, X-Static and others.
Cushioning and length
Cushioning of 1/16" or 1/8". Full length or to the sulcus.
On time, and right the first time.
After 30 days, we can still adjust, re-cover or refurbish any pair we made.
Offer custom orthotics under your own brand.
We make the pairs; your clinic's name goes on them. Contact us for details.
We don't take orders from the public. When patients contact us, we refer them back to their practitioner.
What clinicians ask us.
How do I place an order?
Open an account with us, complete the prescription, and send the scan or cast. Drop off or ship foam boxes and slipper casts, or arrange a pickup for a fee.
When does the 7 business day turnaround start?
When we have both the prescription and the scan or cast.
What if a pair needs changes?
Send it back within 30 days of the patient receiving it and we make an adjustment at no cost. After 30 days we can still adjust, re-cover or refurbish any pair we made.
Do you take orders from patients?
No. We refer patients back to their practitioner.
Can I sell orthotics under my clinic's name?
Yes, through our white label service. Contact us for details.
Open an account.
Tell us about your clinic. We'll contact you to set up your account.
Request sent.
Thanks. We'll contact you to set up your account.
Talk to the lab.
Patients: please book with your practitioner and ask them to order from Gateway Orthotics. Clinics: call or email to open an account or ask a question.
Mississauga, Ontario L4T 1G3