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  • Theralign Dragonfly Tlso 2015 Sizing & Order Form ... - Theratogs

Get Theralign Dragonfly Tlso 2015 Sizing & Order Form ... - Theratogs

TherAlign Dragonfly TLSO 2015 Sizing & Order Form STEP 1: Record the measurements indicated below. 2015 TheraTogs, Inc. (Side 1) Client Last Name or Client ID October 2015 STEP 2: Size & Select.

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How to use or fill out the TherAlign Dragonfly TLSO 2015 Sizing & Order Form online

Filling out the TherAlign Dragonfly TLSO 2015 Sizing & Order Form is a crucial step in ensuring the proper sizing and selection of the garment. This guide provides comprehensive instructions tailored to users, helping to navigate each section of the form effectively.

Follow the steps to complete the form accurately.

  1. Press the ‘Get Form’ button to access the form and open it in the editing interface.
  2. Begin by recording the necessary measurements in the designated fields. This includes the client's last name or client ID, which establishes their identity for the order.
  3. Proceed to size and select the appropriate garment subsystem by identifying the size group, weight range, and other specific measurements such as STA, ATK, and spine length. Make your selections accordingly using the checkboxes provided.
  4. Next, size and select the rib and pelvis strapping. This section requires measurements for the chest and hip, where users need to choose the corresponding model and weight range. Ensure accurate measurements to guarantee proper fit.
  5. Finally, complete the order section by filling out the company name, contact person, billing address, shipping address, email, requested by, and purchase order number if applicable. Review the order details before finalizing.
  6. Once all fields are filled, you can save changes, download, print, or share the completed form as needed.

Complete your TherAlign Dragonfly TLSO 2015 Sizing & Order Form online today to ensure accurate processing of your order.

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Charge for Use: TheraTogs are registered as an FDA Class I orthotic system, so clinicians may be able to use CPT code 97760 (orthotic assessment or fitting) to account for your time spent sizing, fitting, and adjusting the Loaner system.

The new Dragonfly TLSO combines warm-and-form spinal bracing with the wearable therapy of a TheraTogs subsystem in a customized, integrated orthosis. Available in a full range of infant to adult sizes, the Dragonfly TLSO has been code-verified by PDAC1 for HCPCS Code L-0456 and L-0457.

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Get TherAlign Dragonfly TLSO 2015 Sizing & Order Form ... - TheraTogs
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232