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CUSTOM FABRICATED SPINAL MEASUREMENT FORM CUSTOM FABRICATED SPINAL MEASUREMENT FORM DATE ORDER TAKEN BY: ACCOUNT # TIME DATE NEEDED PO # AM ORDERED BY: SHIP TO: AGE Ships VIA ORTHOTIC PATIENT NAME
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How to fill out custom fabricated spinal measurement

How to fill out custom fabricated spinal measurement:
01
Start by gathering all the necessary information and equipment. You will need a measuring tape, a pencil or pen, and the custom fabricated spinal measurement form provided by your healthcare provider.
02
Begin by carefully reading and understanding the instructions on the form. Familiarize yourself with the various sections and measurements that need to be recorded.
03
Before taking any measurements, ensure that the patient is in a comfortable and relaxed position. It is best to have them stand straight with their back against a wall or lie down on a flat surface.
04
The first measurement to take is the height of the individual. Measure from the base of the spine to the top of their head, making sure the measuring tape is straight and aligned with the midline of the body. Record this measurement accurately on the form.
05
Next, you will need to measure the circumference of the patient's chest. Place the measuring tape around the chest, just below the armpits, and record the measurement on the form.
06
Move on to measuring the circumference of the patient's waist. This measurement should be taken at the level of the belly button. Again, ensure the measuring tape is straight and record the measurement accurately.
07
For the next measurement, you will need to measure the circumference of the patient's hips. This should be taken at the widest part of the hips, usually around the level of the hip bones. Record the measurement on the form.
08
Finally, you will need to measure the length of the patient's spinal column. Starting from the base of the spine, use the measuring tape and carefully follow the natural curve of the spine until you reach the prominent bone at the back of the neck. Record this measurement on the form.
09
Double-check all the measurements you have taken to ensure they are accurate and consistent. Make any necessary adjustments before submitting the form.
10
Custom fabricated spinal measurement is needed by individuals who require specialized orthotic devices or braces to support their spine. This may include individuals with spinal deformities, post-surgical patients, or those with chronic back pain. These measurements are crucial in creating a custom-fit and effective spinal orthotic solution for the patient.
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What is custom fabricated spinal measurement?
Custom fabricated spinal measurement is a process of obtaining precise measurements of a patient's spine to create customized medical devices such as spinal braces or supports.
Who is required to file custom fabricated spinal measurement?
Healthcare professionals or facilities, such as orthopedic surgeons or physical therapists, who provide custom spinal devices are required to file custom fabricated spinal measurements.
How to fill out custom fabricated spinal measurement?
Custom fabricated spinal measurements are typically filled out by entering the patient's specific measurements and medical history into a designated form provided by the healthcare professional or facility.
What is the purpose of custom fabricated spinal measurement?
The purpose of custom fabricated spinal measurement is to ensure that the patient receives a properly fitting and effective custom spinal device that can help alleviate pain and improve spine health.
What information must be reported on custom fabricated spinal measurement?
Custom fabricated spinal measurements must include the patient's anatomical measurements, medical history, and details of the proposed custom spinal device.
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