_BiaCare_Catalog | Page 36

P: 866.931.0876 F: 866.931.0052 - BELOW KNEE Sales@BiaCare.com PO#: Measure & Order Form 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 EMAIL: Sales@BiaCare.com OR visit BiaCare.com Below Knee measuring instructions. PRODUCT INFORMATION LEFT LEG RIGHT LEG ACCESSORIES (additional cost): Size: Size: Cotton Socks (extra pair) Qty: Length: Length: Silver Socks (pair) Qty: Item #: Item #: Foot Size: Foot Size: SIZING CHART & ITEM NUMBERS Bottom of Patella C1 C B A MEDAFIT - BK X - LARGE XX - LARGE 51 - 61 58 - 68 SMALL 32 - 42 MEDIUM 38 - 48 LARGE 42 - 52 29 - 39 34 - 44 39 - 49 48 - 58 55 - 65 24 - 34 29 - 39 33 - 43 41 - 51 44 - 55 20 - 29 21 - 30 25 - 36 32 - 42 33 - 43 SHORT 1201 - BKS 1202 - BKS 1203 - BKS 1204 - BKS 1205 - BKS REG 1201 - BKR 1202 - BKR 1203 - BKR 1204 - BKR 1205 - BKR TALL 1201 - BKT 1202 - BKT 1203 - BKT 1204 - BKT 1205 - BKT LENGTH (CM) SHORT: 25 - 30 REG: 30 - 36 TALL: 36 - 42 & SMALL REGULAR I 28 - 36 J 22 - 26 K 14 - 18 BiaCare.com • P: 866.931.0876 • COMPREBOOT PLUS 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 26