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Innovative Fabrications Transfemoral Measurement Form 2008-2025 free printable template

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How to fill out Innovative Fabrications Transfemoral Measurement Form

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How to fill out Innovative Fabrications Transfemoral Measurement Form

01
Start with your personal information section: Fill in your name, date of birth, and contact details.
02
Indicate the reason for measurement: Specify the purpose of the transfemoral fitting.
03
Measure the height: Stand straight and measure from the floor to the top of the head.
04
Obtain weight: Weigh yourself accurately and input the result.
05
Measure the circumferences: Use a measuring tape to take circumferences at the thigh and other specified locations.
06
Record residual limb details: Measure the length of the residual limb from the ischial tuberosity to the distal end.
07
Note any additional information: Include any other relevant details that may affect the fitting.
08
Review and double-check all entries: Ensure that all information is accurate before submission.
09
Submit the form to the required department or individual.

Who needs Innovative Fabrications Transfemoral Measurement Form?

01
Individuals who have undergone a transfemoral amputation.
02
Healthcare professionals involved in prosthetic fittings for transfemoral amputees.
03
Rehabilitation centers or clinics focusing on prosthetic solutions.
04
Insurance providers who need detailed measurements for claim processing.
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The Innovative Fabrications Transfemoral Measurement Form is a documentation tool used to collect precise measurements for creating prosthetic devices for individuals with transfemoral (above-the-knee) amputations.
Healthcare professionals, such as prosthetists and physical therapists, who are involved in the assessment and fabrication of prosthetic limbs for amputees are required to file the Innovative Fabrications Transfemoral Measurement Form.
To fill out the form, practitioners should accurately measure the patient's limb dimensions and anatomical points as prescribed, document the specified measurements in the appropriate sections of the form, and ensure all required fields are completed before submission.
The purpose of the Innovative Fabrications Transfemoral Measurement Form is to ensure that accurate and comprehensive measurements are recorded to facilitate the design and fitting of customized prosthetic devices, leading to better patient outcomes.
The form must typically report measurements including but not limited to the length of the femur, inter-trochanteric distance, knee center height, and any other relevant anatomical data necessary for the fabrication of the prosthetic limb.
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