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How to fill out the Activa Made To Measure Form Pdf online
Filling out the Activa Made To Measure Form Pdf online is a crucial step in ordering customized compression stockings. This guide provides clear and comprehensive instructions to ensure that users can complete the form accurately and effectively.
Follow the steps to successfully complete the online form for your stockings order.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin with Part 1 of the form, which includes length and circumference measurements. Ensure you fill in the pharmacy's name, account number, address, telephone number, and contact person. Provide your name in block capitals as required.
- In the same section, include the patient's name and previous reference number if available. This information is crucial for processing the order correctly.
- Proceed to Part 2. This section has several subsections. Select the desired range of stocking—Credalast Velvet or Credalast Classic. Additionally, indicate the compression class required, ranging from Class I to Class III.
- Further specify the shade by choosing from Natural or Black (Class I & II only). In the next subsection, select the foot style as either Closed Toe or Open Toe.
- In Section Five, indicate the length of the stocking. You can choose options like Thigh Length or Below Knee.
- Move on to Part 4, where you will provide detailed measurements. For each leg, note the circumference at various points (e.g., thigh, mid thigh, below knee, calf, ankle) and provide the length measurements as required.
- Record the quantity of stockings needed for each leg, making sure not to leave any boxes blank.
- After reviewing all information for accuracy, save your changes. You can then download or print the completed form for submission.
Take the time to fill out your documents online for a seamless order experience.
Measuring legs for stockings requires accurate measurements of the ankle, calf, knee, and thigh. It is crucial to stand during this process to ensure the best fit. Following the correct procedure helps achieve effective compression therapy. The Activa Made To Measure Form Pdf provides a step-by-step guide that is easy to follow.