Forms

We Make the Ordering Process
Easy As Pie!
- Fax or email us your patients demos—we’ll verify coverage and get back to you within 8 hours.
- Fax or email us your patients measurements or requested garment order along with your evaluation.
- That’s it! We’ll take care of the rest!
Order Forms & Measuring Guides
Please click below to select and download from our product order forms and measuring guides.
Order Forms
CONFIDENCE
Confidence Order Form AD AG.pdf
Confidence Upper Extremity Form CG1.pdf
ELVAREX
Elvarex Foot Cap Order Form.pdf
Elvarex Soft Armsleeve Order Form.pdf
JOBST
Jobst Bellavar and Custom Seamless Soft Form.pdf
Jobst Custom Seamed Order Form.pdf
Jobst Custom Seamed Vest Order Form.pdf
JoViPak
JoViPak Custom Legs.pdf
JoviPak Custom Made Armsleeves.pdf
L and R
Tributenight Right Hand Garment.pdf
Tributenight Left Hand Garment.pdf
Tributenight Facial Garment.pdf
Tributenight Torso Garment.pdf
Measuring Guides
Bioflect
Bioflect.pdf
Lymphvidivas
Lymphvidivas.pdf
Medi
RevR Lymphology Lower Extremity.pdf
Rev F Upper Extremity Circaid.pdf
Rev N Lymphology Upper Extremity.pdf
Rev K Custom Circular Knit.pdf
PrarieWear
PrairieWear.pdf
Pure Medical
Pure Day Daytime Upper Extremity.pdf
Pure Day Daytime Lower Extremity.pdf
Pure Night Upper Extremity.pdf
Pure Night Lower Extremity.pdf
Reid Sleeve
ReidSleeve Arm.pdf
Thusane
Thusane Mobiderm Lower Extremity.pdf