Get Ssur Custom Unloader Knee Brace Order Form - Ossur

The Ssur Custom Unloader Knee Brace Order Form is designed to streamline the process of ordering a knee brace customized to individual needs. This guide provides a clear, step-by-step approach to ensuring you accurately complete the form online for a smooth ordering experience.

Follow the steps to successfully complete your order form online.

1. Press the ‘Get Form’ button to access the order form and open it in your preferred online editor.
2. Begin by entering the date and customer number at the top of the form. This information helps in tracking your order.
3. Fill out the required patient information section, including the patient’s first and last name, age, height (in cm), weight (in kg), and email address.
4. Indicate the purchase order number and the specific diagnosis of the patient. This step is essential for providing the correct medical background.
5. Select the appropriate options regarding the knee brace, including the side (left or right) and affix the specifications for the DFS strap, brace length, and liners based on the activity level of the patient.
6. Carefully follow the measurement tips section to correctly measure the joint space and leg circumferences for optimal brace fit. Use the provided guidelines and take all measurements in a weight-bearing position.
7. Choose the desired color and finish (matte or gloss) for the knee brace. There are various color options available; select one that suits your preference.
8. Review the customized details and any special notes, including a request for contact regarding the order if necessary.
9. Complete the billing and shipping address sections, ensuring all contact information is accurate for seamless delivery.
10. Once all necessary fields are filled, save your changes, and utilize available options to download, print, or share the completed form.

Ensure your knee brace order is submitted correctly by completing the form online today!