Get Jobst Made To Measure

Filling out the Jobst Made To Measure form is a crucial step in ensuring you receive the correct custom-fit garments for upper limb compression therapy. This guide will provide clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to complete your Jobst Made To Measure order form.

1. Press the ‘Get Form’ button to access the Jobst Made To Measure form and open it in your preferred document editor.
2. Enter the date at the top of the form. This is important for record-keeping and order processing.
3. Fill in the purchase order number if applicable. This helps in tracking and managing the order.
4. Complete the patient name section to identify the person the custom garment is for.
5. Indicate who measured the patient by filling in the 'Measured By' section.
6. Provide the contact telephone number for the person who measured the patient to ensure effective communication.
7. Specify the delivery address where the garment should be sent.
8. Include the invoice address if it is different from the delivery address.
9. Input the date of birth (DoB) of the patient, which may be relevant for fitting purposes.
10. Provide an email address for confirmation and updates regarding the order.
11. Proceed to fill in the length measurements on the inside of the arm in centimeters.
12. Select the compression class needed: CCL1 (15-21 mmHg), CCL2 (23-32 mmHg), or CCL2F (23-32 mmHg).
13. Indicate the style of garment by selecting options such as gauntlet with or without a thumb, and specify the appropriate color.
14. Complete the circumferential measurements as outlined in the provided section, ensuring accuracy for the best fit.
15. If ordering a glove, select the size based on the allowed finger options and additional features like silicone bands.
16. Review all measurements and selections to ensure accuracy before final submission.
17. After verifying all information is correct, fax the completed order to customer services as directed.

Complete your Jobst Made To Measure order form online today to ensure you receive the optimal compression garment.