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TO ORDER:Alvarez Soft Order Form https://order.jobst.com/us Fax: (+1) 8008354325Lower ExtremityPatient Name / BSN File # DOB Date Address Gender City/State/Zip PO# Diagnosis Original Order Reorder

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What is elvarex soft order form?

Elvarex soft order form is a document used to request custom-made compression garments for patients with lymphedema or other vascular conditions.

Who is required to file elvarex soft order form?

Healthcare providers such as physicians, therapists, or medical professionals who are treating patients with lymphedema or other vascular conditions are required to file elvarex soft order form.

How to fill out elvarex soft order form?

Elvarex soft order form should be filled out by providing patient information, measurements, specific garment requirements, and the healthcare provider's signature.

What is the purpose of elvarex soft order form?

The purpose of elvarex soft order form is to ensure that custom-made compression garments are properly ordered and tailored to meet the individual needs of patients with lymphedema or other vascular conditions.

What information must be reported on elvarex soft order form?

Elvarex soft order form must include patient's name, contact information, measurements, specific garment requirements, and healthcare provider's signature.

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