Get Custom 4u Pur Liner Transtibial Amputations And Shape Plus Liner

Filling out the Custom 4U PUR Liner Transtibial Amputations And Shape Plus Liner online is an important process that ensures the accuracy and effectiveness of the custom liner for users. This guide will walk you through each step in a clear and supportive manner, so you can complete the form effortlessly.

Follow the steps to fill out the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Fill in the billing address section, ensuring that all details such as the company name and address are accurate. If the shipping address differs from the billing address, complete that section as well.
3. Enter the customer number in the provided field. Make sure to double-check for any missing information, as this could delay your order.
4. Clearly write the patient's name in the designated field. This name will be imprinted on the custom liner.
5. Complete the transtibial measurements section. For limbs greater than 10 cm in length, the cast should be taken in no more than 10º flexion, and for limbs under 10 cm in length, a 20º flexion is recommended.
6. Mark the MPT and all prominent areas on the plaster model clearly. Ensure that the plaster negative is extended 23 cm beyond the knee center.
7. Specify the type of custom liner required by selecting from the options provided, such as 'Custom 4U PUR Liner' or 'Shape Plus Custom 4U PUR Liner.'
8. Choose the wall thickness and taper specifications as needed, based on the requirements for your user.
9. Indicate whether a distal connection is needed and choose the outer coating if applicable. Fill in any color preferences for the coating.
10. Add any additional comments in the comments section, providing any relevant information that may assist in the processing of the order.
11. Sign the form in the designated area, and enter the date and place of signing.

Complete your documents online for a smoother process and timely delivery.