Compression: 2026

1. Click ‘Get Form’ to open the Compression: document in the editor.
2. Begin by entering the patient's name and date at the top of the form. This information is crucial for accurate record-keeping.
3. In the Diagnosis section, provide a brief description of the patient's condition as prescribed by their physician.
4. Fill in the Physician's name, signature, and license number to validate the prescription.
5. Select the appropriate compression level (20-30 mmHg, 30-40 mmHg, etc.) based on medical advice. Circle your choice clearly.
6. In the Products section, circle all applicable options that best suit the patient’s needs from the provided list.
7. Indicate 'No Substitution' if necessary and specify the number of pairs and refills required.
8. Choose the style of compression garment needed (e.g., Calf, Thigh) and any additional specifications like left or right attachment.
9. Review all entries for accuracy before saving or printing your completed form.

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