Get Donjoy Custom Knee Brace Order Form

Filling out the Donjoy Custom Knee Brace Order Form is a straightforward process that ensures you provide all necessary information for a custom knee brace. This guide will walk you through each section of the form, ensuring that you have a comprehensive understanding of how to complete it online.

Follow the steps to complete the order form accurately.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. In the 'Bill To' section, fill in your account name, order number, account number, purchase order number, and brace number. Ensure that all fields are accurately completed.
3. Provide the contact information, including name and phone number, to ensure a direct line of communication if needed.
4. In the 'Patient Information' section, enter the patient's address, city, state, and zip code. This information is crucial for shipping the knee brace.
5. If the shipping address is the same as the 'Bill To' address, check the box indicated. Otherwise, fill in the name and address for shipping. Select the preferred shipping method (Red, Blue, or Ground).
6. Enter the patient's age, height, weight, and choose the knee measurement (Right, Left, or Reverse). It is important to accurately capture these details for the best fit.
7. Indicate who measured the knee and confirm whether this is a new brace order. Fill in any warranty preferences, checking the appropriate box.
8. Select the product version and any desired features in the product selection section. Ensure that you circle required measurements and options.
9. If additional accessories are needed, mark the corresponding boxes and specify sizes as necessary.
10. Once all information is complete, review the form for accuracy. You can then save changes, download, print, or share the completed form as needed.

Complete your Donjoy Custom Knee Brace Order Form online today for a custom fitting experience.