Get Custom Urethane Liners - Otto Bock

Filling out the Custom Urethane Liners form from Otto Bock is a crucial step in ensuring accurate and timely processing of your order. This guide will provide clear, step-by-step instructions to help you complete the form effectively, whether you are familiar with online document filling or new to the process.

Follow the steps to successfully complete the Custom Urethane Liners form.

1. Press the ‘Get Form’ button to obtain the Custom Urethane Liners form and open it in the online editor.
2. Fill in the account information section. Provide the date, account number, and order form details as required.
3. Complete the 'Bill To' section with the name, phone number, fax number, email address, and the name of the person who ordered.
4. In the shipping options, indicate your preference by checking the appropriate box for shipping method: next day, 2-day, ground, or other, and include a P.O. number if applicable.
5. Enter the 'Ship To' details, ensuring to include the recipient's name, phone number, and complete address (including city, state, and zip code).
6. For patient information, clearly write the patient's first and last name. It's important to accurately indicate their side (left or right) and type of liner needed.
7. Select the appropriate type of custom liner and any additional specifications such as wall thickness, exterior textile cover, and locking mechanism options.
8. Fill in the length of the residual limb from MTP to the distal end using either centimeters or inches.
9. Provide additional notes in the order form regarding any special conditions concerning the patient, such as invaginations or scarring.
10. Review all the information entered for accuracy. Ensure that all necessary fields are completed, as missing information may delay the order.
11. Once the form is complete, save your changes. You may also choose to download, print, or share the form as needed.

Begin filling out your Custom Urethane Liners form online today for a smooth ordering experience.