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Contact Us - By Brand 2026
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- Click ‘Get Form’ to open the Contact Us - By Brand form in the editor.
- Begin by filling out the 'BILL TO' section. Enter your account name, order number, account number, and purchase order number as required.
- In the 'PATIENT INFORMATION' section, provide the patient's address, city, state, and zip code. Ensure all details are accurate for effective communication.
- If shipping information is different from billing, complete the 'SHIPPING INFORMATION' section. If it’s the same, simply check the box provided.
- Fill in the knee measurement and other relevant details under 'Knee Measurement'. This ensures a proper fit for the brace.
- Select your desired product features and accessories from the options listed. Make sure to choose according to your needs.
- Finally, have a supervising healthcare professional sign off on the form by entering their name, credentials, and date before submission.
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Related links
Fill out the form below to connect with the Office of Brand. For questions regarding the UCCS Brand, please email brand@uccs.edu. (719) 255-8227 or toll free
Get in touch with Adyen to create custom payment solutions. We process payments for thousands of brands, and you may see Adyen on your bank statement.