Shiley custom order form 2026

1. Click ‘Get Form’ to open the shiley custom order form in the editor.
2. Begin by selecting whether this is a new order or a re-order. Check the appropriate box under 'ORDER'.
3. Indicate the product type by checking either 'NON-STERILE' or 'STERILE'. Then, enter the quantity of custom tracheostomy tubes you wish to order in the provided field.
4. Fill in the physician's name and patient name in their respective fields. If this is a re-order, include the previous lot number for reference.
5. Complete the shipping instructions by providing the address, city, state, and zip code where the products should be sent.
6. Review all selections made for size, flange type, cannula curve, and fenestration options. Ensure all measurements are accurate before finalizing your order.

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