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Limbs for Life (LFL) Component Request Form

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4.9 out of 5

26 votes

The document is a Component Request Form for Limbs for Life (LFL), designed to collect patient information and specific requests for prosthetic components. It includes sections for patient details, types of amputations, measurements, preferred suspension types, and requested items such as feet, knees, liners, and other accessories. The form also addresses brand substitutions and provides contact information for submission and inquiries.

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Versions	Form popularity	Fillable & printable
2018	4.9 Satisfied (26 Votes)

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