Follow the steps to successfully complete the Thuasne RebelLock OF013 form.

1. Click ‘Get Form’ button to access the Thuasne RebelLock OF013 form and open it in the editing interface.
2. Begin by entering the account contact information. Fill in the name, email, and phone number of the contact person responsible for the order.
3. In the billing and shipping section, provide the purchase order number followed by selecting a shipping preference. Options include Ground, Next Day A.M., Next Day P.M., 2-Day A.M., or 2-Day P.M. Note that without a specified preference, the order will default to 2-Day P.M.
4. Complete the billing account number and shipping account number fields. Then, enter the billing and shipping addresses, including the city, state, and zip code.
5. In the patient information section, fill in the patient’s last name and first name, and select their gender (Male or Female).
6. Record the weight and height of the patient in pounds (LBS) and inches (IN), respectively. Select which leg requires the brace (Left or Right).
7. Specify the thigh shell and tibia shell lengths by selecting from the provided size options. If applicable, select the size that corresponds to your patient's proportional leg sizing.
8. Choose the locking position for the brace; options include Zero Degree Locking Position or Five Degree Locking Position.
9. Select the desired color finish for the custom-fitted assembly and indicate if the brace requires additional measurements for customization.
10. Provide any special instructions or additional requests in the designated space for special instructions.
11. Once all fields are filled out, review the information for accuracy before proceeding to save your changes. You can then download, print, or share the completed form.

Complete your Thuasne RebelLock OF013 form online today for a streamlined ordering process.