Get Measurement Form For Polyurethane (pur) Liner

Filling out the Measurement Form for Polyurethane (PUR) Liner online is an essential step for customizing prosthetic liners that meet specific patient needs. This guide will provide you with clear, step-by-step instructions to ensure you successfully complete the form.

Follow the steps to accurately fill out the Measurement Form For Polyurethane (PUR) Liner

1. Click ‘Get Form’ button to obtain the Measurement Form For Polyurethane (PUR) Liner and open it for editing.
2. Enter the customer number and customer details in the specified fields.
3. Indicate the date of completion, and if necessary, input the shipping address if it is different from the customer address.
4. Provide the patient's name and contact phone number.
5. Select the affected side by marking either 'Left' or 'Right'.
6. Choose the appropriate PUR custom liner option based on the plaster cast characteristics or the measurement form.
7. If applicable, provide specific details about any complex features related to the plaster cast that may require a special liner.
8. Fill in the lower leg measurements, ensuring accuracy, and extend measuring sections if required.
9. Indicate the wall thickness and residual limb length as required for the desired liner.
10. Input details for the exterior coating, specifying the color and thickness chosen.
11. Select any additives if required, noting any time limitations for options like 'FRESH' fragrance.
12. Complete all additional measurements such as minimum and maximum circumferences.
13. Add any additional comments that may be relevant to the order.
14. Once all sections are complete, save your changes, and proceed to download, print, or share the Measurement Form as needed.

Complete your form online to streamline the customization of your PUR liner.