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Custom Knee Brace Order Form Phone: (800) 3210607 Fax: (800) 3292734 BILL TO www.breg.com FOR OFFICE USE ONLY SHIP TO (if different) Customer # PO # Contact Tel # Name Address Name DATE/TIME: Address
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How to fill out custom knee brace order

How to fill out a custom knee brace order:
01
Start by gathering all necessary information: You will need to provide your personal details, such as your name, contact information, and shipping address. Additionally, you will need to provide specific details about your knee condition, such as the type of injury or condition, any previous treatment, and any specific requirements or preferences for the knee brace.
02
Consult a healthcare professional: Before filling out the custom knee brace order, it is recommended to consult with a healthcare professional, such as an orthopedic specialist or a physical therapist. They can provide guidance on the appropriate type of knee brace for your specific needs and help ensure accurate measurements.
03
Choose the right knee brace: Once you have discussed your knee condition with a healthcare professional, you can select the appropriate knee brace for your needs. There are various types of knee braces available, such as hinged knee braces, compression sleeves, or patella stabilizers. Consider factors like the level of support needed, the intended use (e.g., sports or everyday activities), and any specific requirements mentioned by your healthcare professional.
04
Provide accurate measurements: Custom knee braces require precise measurements to ensure a proper fit. Follow any instructions provided by the knee brace manufacturer or consult with your healthcare professional for guidance on how to measure your knee accurately. This may involve measuring the circumference of your knee, as well as any specific measurements for the length or width of your leg.
05
Submit the order: Once you have gathered all the necessary information and measurements, you can proceed to fill out the custom knee brace order form. This can typically be done online or through a mail-in form provided by the manufacturer or provider. Ensure that all the required fields are completed accurately and double-check the information before submitting the order.
06
Follow up and delivery: After submitting the custom knee brace order, it is important to follow any further instructions provided by the manufacturer or provider. This may include additional measurements or a confirmation process to ensure the accuracy of the order. Once the knee brace is ready, it will be shipped to your provided address.
07
Regular communication with healthcare professional: It is important to maintain regular communication with your healthcare professional throughout the process. They can assist with any questions or concerns regarding the knee brace, provide guidance on its usage, and monitor your progress or make any necessary adjustments as needed.
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What is custom knee brace order?
Custom knee brace order is a request for a personalized knee brace that is made specifically for an individual's unique measurements and needs.
Who is required to file custom knee brace order?
Healthcare professionals such as orthopedic doctors or physical therapists are typically responsible for filing custom knee brace orders on behalf of their patients.
How to fill out custom knee brace order?
To fill out a custom knee brace order, healthcare professionals must provide detailed information about the patient's knee injury or condition, measurements, and any special requirements for the brace.
What is the purpose of custom knee brace order?
The purpose of a custom knee brace order is to ensure that the patient receives a knee brace that fits properly and provides the necessary support and protection for their specific needs.
What information must be reported on custom knee brace order?
Information such as the patient's name, contact information, measurements, medical history, and details about the knee injury or condition must be reported on a custom knee brace order.
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