Loading
Get Jobst Elvarex Soft Custom Fit Upper Limb Order Form Custom ...
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the JOBST Elvarex Soft Custom Fit Upper Limb Order Form online
Filling out the JOBST Elvarex Soft Custom Fit Upper Limb Order Form online is a straightforward process that ensures accurate information for customized fittings. This guide provides a step-by-step approach to help you efficiently complete the form.
Follow the steps to fill out your order form accurately.
- Click the ‘Get Form’ button to access the order form and open it in the editor.
- Fill in the 'Date' field with the current date to indicate when the order is being placed.
- In the 'Hospital Purchase Order Number' section, enter the relevant purchase order number associated with the hospital.
- Provide the 'Patient Name' to identify the individual who will receive the garment.
- Fill in 'Measured By' with the name of the person who conducted the measurements for the custom fit.
- Complete the 'Delivery Address' and 'Invoice Address' fields to ensure proper shipment of the product.
- Enter the patient's 'Date of Birth' to verify their age and any potential product fitting specifications.
- Select the 'Compression Class' that corresponds to the patient's needs from the provided options.
- Choose the desired 'Colour', such as Beige, and select the 'Styles' required, such as knee-high or thigh-high.
- Indicate the specific leg or arm measurements in the designated areas to ensure an accurate fit (refer to the provided measurement guidelines).
- Select any options available, such as closed toe or open toe, and indicate the quantity of items required.
- Once all fields are filled out, review the form for any errors or missing information.
- Save any changes you have made, and download or print the completed form for your records or further processing.
- Share the final document as needed with the relevant parties, such as healthcare providers or suppliers.
Begin filling out your JOBST Elvarex Soft Custom Fit Upper Limb Order Form online today for a seamless experience.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.