Get Ottobock Custom Liner Order Form

Filling out the Ottobock Custom Liner Order Form online can streamline your ordering process and ensure that you receive the exact product you need. This guide provides a detailed overview of each section, offering clear instructions to help you navigate the form effectively.

Follow the steps to fill out the form accurately.

1. Press the ‘Get Form’ button to access the document and open it for editing.
2. Input your billing address in the designated field. This includes your company name, address, and customer number. If the shipping address differs, ensure to fill in that section as well.
3. Next, identify the patient information section. Enter the patient's name, gender, and any relevant mobility grades or medical conditions that would assist in the order.
4. Select the type of liner you need from the dropdown options provided, ensuring that you check the specifications like size and height requirements.
5. Complete the measurements for the residual limb. It is crucial to provide accurate dimensions to ensure a proper fit for the custom liner.
6. Fill out the additional specifications, such as desired materials and features like distal connections or coating preferences.
7. Review all entered information for accuracy. Missing or incorrect data may delay your order.
8. Once completed, you can save the changes, download the document, print it for your records, or share it as necessary.

Be sure to complete your Ottobock Custom Liner Order Form online today for seamless processing!