Get Full Shell Bk Brace - Townsend Design

Filling out the Full Shell BK Brace - Townsend Design form online is an essential step for healthcare providers and users to ensure a proper fit and customized fabrication of this knee orthosis. This guide will provide step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete the Full Shell BK Brace form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by providing the ordered by information, which should include the name and phone number of the individual ordering the brace.
3. Complete the billing information section, including the P.O. number, Townsend account number, and billing address.
4. Fill in the shipping to information, making sure to include the address, city, state, zip code, country, and relevant contact details.
5. Specify the fit date, which is the date scheduled for fitting the brace. Note that routine fabrication often takes 4-5 business days.
6. Select the shipping preference from the available options, ensuring you understand that default shipping is 2-Day P.M. if no preference is indicated.
7. Enter the patient's personal information, including first and last name, age, and gender, as well as any assistive devices currently in use.
8. Provide clinical diagnosis details and specify any required features or customizations for the brace, including hinge positions and joint types.
9. Complete the cast protocol instructions outlined in the relevant section to ensure a proper fit over the prosthetic socket.
10. Once all fields are filled out, ensure to save your changes. You may also choose to download, print, or share the completed form as needed.

Start completing the Full Shell BK Brace - Townsend Design form online today for efficient processing and customized support.