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Get Supercourse Registration Form Fillauer Oct 2013.doc
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How to fill out the SuperCourse Registration Form Fillauer Oct 2013.doc online
Filling out the SuperCourse Registration Form is a crucial step in ensuring accurate patient information and measurements for the Fillauer BK-3S prosthesis. This guide provides clear instructions to help users complete the form seamlessly online.
Follow the steps to accurately complete the SuperCourse Registration Form.
- Click ‘Get Form’ button to access the SuperCourse Registration Form and open it in your chosen editor.
- Begin by filling out the practitioner section. Enter the name of the branch, along with any associated purchase order (PO) number, the current date, and the preferred shipping method.
- Input the address of the recipient by filling in the street address, city, state, and zip code.
- Complete the patient information section. Provide the patient's full name, age, sex, weight, and height. Clearly specify the cause of amputation and its date.
- Document the amputation level by selecting either 'Right' or 'Left' as applicable.
- For socket information, record the relevant measurements. If model circumferences exceed anatomical circumferences by 1/4 inch or more, calculate reductions based on model measurements.
- For both Durr-Plex Check Socket Model and Silicone Liner Model, fill out initial model measurements and any necessary reductions for your goals.
- Indicate the desired heel height and shoe size, and measure the dimensions including the knee center and tibial plateau, if applicable.
- Provide any additional remarks or notes in the remarks section.
- Once all necessary fields are completed, save your changes, and consider downloading, printing, or sharing the completed form as needed.
Complete the SuperCourse Registration Form online today to ensure efficient processing of your prosthesis measurements.
Creating a Google Form for student registration is simple and efficient. Go to Google Forms, choose a blank form, and add relevant questions for student details. Utilize the features available to customize the form, and consider using formats similar to the SuperCourse Registration Form Fillauer Oct 2013.doc to enhance usability and aesthetics.
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