Get Aadl Vendor Fitting Form

Filling out the Aadl Vendor Fitting Form online is a crucial step in ensuring individuals receive the appropriate fittings for their medical needs. This guide provides comprehensive and user-friendly instructions to help you navigate the form efficiently.

Follow the steps to complete the Aadl Vendor Fitting Form online.

1. Click ‘Get Form’ button to obtain the Aadl Vendor Fitting Form and open it in your preferred editing format.
2. Begin by entering the client’s last name in the designated field, followed by their first name.
3. Fill in the year and date of the fitting, selecting the appropriate month and day.
4. Specify the authorized length of the stocking by selecting from calf, thigh, pantyhose, or thigh with waist attachment.
5. Enter the Personal Health Number (PHN) in the relevant section.
6. Indicate the initial and second fitting times, or mark N/A if no fitting occurs.
7. Select the pressure authorized from options including 20-30 mmHg, 30-40 mmHg, 40-60 mmHg, or 50-60 mmHg.
8. Choose the appropriate toe option: Open Toe or Closed Toe, and provide the shoe size.
9. Confirm if this is the initial fitting by selecting Yes or No, and specify if applicable which fitting type it is.
10. If there are special instructions from the doctor, select Yes and detail the requests; otherwise select No.
11. Include any fitter comments, noting whether edema is present and any necessary actions.
12. Document the types of stockings tried, if the client is able to don and doff the stocking, and details regarding stocking aid use.
13. Confirm awareness of stocking aids and financial responsibility for replacement due to misuse, loss, or theft.
14. Lastly, fill in the brand of stocking fitted, the AADL authorization number, and gather necessary signatures.
15. Once all sections are completed, save your changes, download, print, or share the form as needed.

Complete your Aadl Vendor Fitting Form online to ensure timely processing of your fittings.