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Click ‘Get Form’ to open it in the editor.
Begin by filling in the 'Invoice to' section, including the Order No and Order Date. Ensure that all fields are completed accurately for processing.
In the 'Name and Address of Pharmacy/Hospital' section, provide the full details of the pharmacy or hospital handling the order.
Next, enter the Patient’s Name, Postcode, Previous Reference No (if known), and Telephone No. This information is crucial for order tracking.
Complete the 'Measurements completed by' section with your name and contact details. Accurate measurements are essential for proper fitting.
Fill in the compression class required (Class I, II, or III) and specify the style and quantity of stockings needed.
For measurements, follow instructions carefully: measure while seated for below-knee stockings and standing for thigh-length stockings. Record all measurements in CENTIMETRES.
Finally, review all entries for accuracy before submitting your form online or via email as indicated at the bottom of the document.
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How do I know what size compression stockings to get?
With your heel against a wall, trace an outline of each foot, and then use a ruler to measure the length from heel to toe and width from the widest part of your foot to another. Write down those measurements and then compare them to a foot-size chart!
What is the difference between 15/20 mmHg and 20/30mmHG compression socks?
15-20 mmHg: Great for daily wear, travel, and sports. They help improve circulation without being too tight. 20-30 mmHg: Great for sports recovery, daily wear, medical recovery, and to manage mild symptoms of varicose and spider veins. Ideal for patients looking for more support.
How to measure for surgical stockings?
How to measure B - measure the circumference of the widest part of the calf. C - measure the circumference of the ankle, just above the ankle bone. D - measure the length of the foot from the back of the heel to the longest toe.
What is Altiform British Standard?
Altiform stockings is a British Standard Compression Hosiery which provide graduated compression. This means that the compression is higher at the ankle and gradually reduces up the leg. Graduated compression stockings gently squeeze the legs to improve blood flow.
How to take measurements for compression stockings?
0:03 1:12 So you measure at the bottom of the foot. All the way up to about the crease. There and forMoreSo you measure at the bottom of the foot. All the way up to about the crease. There and for measuring a thigh high the measurements on the lower part are the same.
altiform
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0:05 1:58 Website. The patient should be standing for the thigh measurements. And they can stand or sit forMoreWebsite. The patient should be standing for the thigh measurements. And they can stand or sit for the other measurements.
How do you measure for anti embolic stockings?
Measurement For Knee Length Stockings 1 - Measure calf circumference at greatest dimension 2 - Measure the distance between 1 inch below the knee line to bottom of the heel 3 - Consult the product sizing poster to determine the appropriate size depending on the calf girth and leg length.
How to prescribe made to measure stockings?
How do I prescribe made-to-measure stockings, if these are required? State made to measure on the prescription. The pharmacist will complete a manufacturers order form, which will specify the measurements required.
altiform made to measure
(PDF) Compression and Chronic Wound Management
made to measure. In addi- tion to selecting the correct class and type of hosiery for the indication, its impor- tant to correctly measure and fit
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