Get Face Mask Measurement

This guide provides detailed instructions for completing the Face Mask Measurement form online, ensuring users understand each section and field. By following these steps, users can accurately provide their measurements and other necessary information for their face mask order.

Follow the steps to complete the Face Mask Measurement form effectively.

1. Click ‘Get Form’ button to obtain the Face Mask Measurement form and open it in the editor.
2. Fill out the account information section. Enter your account number, date, account name, contact person, and address. Make sure to also include your phone and fax numbers.
3. In the Neck and Chin Bandage section, specify the re-order number and select your preferred closure options by indicating 'yes' or 'no' for an opening for ears.
4. Provide the patient ID and P.O. number, if applicable. Then input the patient's height and circumferences as required.
5. For the prescribing physician, include their name and the requested compression level, which is typically 18-21 mmHg.
6. Indicate the quantity of pieces required.
7. Select the appropriate Juzo product by choosing the color from the options provided.
8. Measure the length of the neck part as instructed and enter the values in the appropriate fields.
9. Measure and input the length of the headband from one side of the head to the other.
10. Specify the forehead and back of head measurements, selecting the desired openings for the mask—open or closed.
11. Complete the width and length measurements for other sections of the face mask as specified.
12. If there are any special requests, indicate them in the provided section.
13. Once all information is completed, review the form for accuracy. You can then save changes, download, print, or share the completed form.

Start filling out your Face Mask Measurement online today!