Get Jobst Elvarex Custom-fit Upper Limb Order Form - Healthcare21 - Healthcare21

Filling out the JOBST Elvarex Custom-Fit Upper Limb Order Form online can seem daunting at first, but with a clear understanding of each section, this process becomes straightforward. This guide will provide step-by-step instructions to help users complete the form efficiently and accurately.

Follow the steps to successfully complete the order form online.

1. Click ‘Get Form’ button to access the form and open it for completion.
2. Begin by entering the date in the designated field at the top of the form. This ensures that the order is processed in a timely manner.
3. Fill in the purchase order number, date of birth, and your contact details, including name, telephone number, delivery address, and invoice address.
4. Include the email address for any communications regarding your order. This allows for easier tracking and updates.
5. In the measurement field, provide the length measurements taken on the inside of the arm. Ensure these are accurate to facilitate a proper fit.
6. Indicate the compression class by selecting from the provided options: CCL1 (15-21mmHg), CCL2 (23-32mmHg), or CCL2F (23-32mmHg).
7. Specify the patient's name and choose the appropriate gauntlet style (with or without thumb) and the corresponding compression class.
8. Fill in the circumference measurements as needed and select the desired color for the garment from the available options.
9. Select the style of the armsleeve, including specific options for adjustment like Velcro straps or a bra loop width.
10. Complete the quantity fields for each item you are ordering, ensuring to specify left or right where applicable.
11. If the selection includes any options, ensure to check or specify those details accurately to personalize the garment according to the user’s needs.
12. Finally, review all entered information thoroughly to ensure accuracy before proceeding to submit the order. Once reviewed, the form can be saved, downloaded, printed, or shared as needed. Ensure to fax the completed form to customer services for processing.

Complete your order today by following these steps to ensure a smooth online experience.