_BiaCare_Catalog | Page 26

P: 866.931.0876
F: 866.931.0052

®

[e-mail]

- BELOW KNEE

Measure & Order Form

PO#:

Date:

Company:
Phone:

Contact Name:
Patient:

Sex:

Age:

Ht:

Wt:

Bill-To Name & Address:
Ship-To Name & Address:

MEASURING INSTRUCTION OPTIONS

WEB: Scan QR code

CATALOG: Page 68 for standard size

PRODUCT INFORMATION
LEFT LEG

EMAIL: [e-mail]

OR visit BiaCare.com

Below Knee measuring instructions.

RIGHT LEG

ACCESSORIES (additional cost):

Size:

Size:

Length:

Length:

Silver Socks (pair) Qty:

Item #:

Item #:

Strap Extenders Qty:

Foot Size:

Foot Size:

Color:

Black

Beige

Note: if no color is selected, black will be shipped.

Color:

Cotton Socks (extra pair) Qty:

Black

Beige

SIZING CHART & ITEM NUMBERS
C
B
A

Bottom of
Patella

COMPREFIT - REGULAR

MEDIUM

SMALL

29 - 39
24 - 34
20 - 29

34 - 44
29 - 39
21 - 30

LARGE

39 - 49
33 - 43
25 - 36

X - LARGE

XX - LARGE

55 - 65
44 - 55
33 - 43

48 - 58
41 - 51
32 - 42

BLACK 1101 - BKR 1102 - BKR 1103 - BKR 1104 - BKR 1105 - BKR
BEIGE 1111 - BKR 1112 - BKR 1113 - BKR 1114 - BKR 1115 - BKR

C1
C
B
A

LENGTH (CM)
REG: 30 - 36
TALL: 36 - 42

COMPREFIT - TALL

29 - 39
26 - 36
21 - 31
20 - 29

34 - 44
31 - 41
25 - 35
21 - 30

39 - 49
35 - 45
30 - 40
25 - 36

48 - 58
45 - 55
36 - 46
32 - 42

55 - 65
50 - 60
40 - 50
33 - 43

BLACK 1101 - BKT 1102 - BKT 1103 - BKT 1104 - BKT 1105 - BKT
BEIGE 1111 - BKT 1112 - BKT 1113 - BKT 1114 - BKT 1115 - BKT

&

SMALL

REGULAR

I 28 - 36
J 22 - 26
K 14 - 18
BiaCare.com

•

P: 866.931.0876

•

COMPREBOOT SIZING

LONG

28 - 36

MED/LARGE

REGULAR

LONG

39 max 39 max

XL/XXL

REGULAR

LONG

44 max 44 max

22 - 26

30 max 30 max

33 max 33 max

19 - 23

18 - 20

20 - 22

F: 866.931.0052

23 - 25

25 - 27

18