_BiaCare_Catalog | Seite 48

P: 866.931.0876
F: 866.931.0052

ompreSleeve

™

[e-mail]

PO#:

- THIGH HIGH

Measure & Order Form

Company:

Date:
Phone:

Contact Name:
Patient:

Sex:

Age:

Ht:

Wt:

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

MEASURING INSTRUCTION OPTIONS
CATALOG: Page 68 for standard size

WEB: Scan QR code

EMAIL: [e-mail]

OR visit BiaCare.com

Thigh High measuring instructions.

PRODUCT INFORMATION
LEFT LEG

RIGHT LEG

Size:

Size:

Length:

Length:

Item #:

Item #:

Foot Size:

(See page 53 for foot sizing)

Foot Size:

(See page 53 for foot sizing)

SIZING CHART & ITEM NUMBERS
Gluteal Fold
(or desired length)

F
E
D
C1
C
B
A

SMALL
48 - 58
43 - 53
38 - 48
32 - 42
29 - 39
24 - 34
20 - 29

COMPRESLEEVE - TH
MEDIUM
56 - 66
51 - 61
46 - 56

LARGE
64 - 74
58 - 68
53 - 63

X - LARGE
74 - 84
68 - 78
63 - 73

37 - 47
34 - 44
29 - 39
21 - 30

42 - 52
39 - 49
33 - 43
25 - 36

51 - 61
48 - 58
41 - 51
32 - 42

H

SHORT 1501-THS-L 1502-THS-L 1503-THS-L 1504-THS-L
REG 1501-THR-L 1502-THR-L 1503-THR-L 1504-THR-L
TALL 1501-THT-L 1502-THT-L 1503-THT-L 1504-THT-L

XTALL 1501-THXT-L 1502-THXT-L 1503-THXT-L 1504-THXT-L
XSHORT 1501-THXS-R 1502-THXS-R 1503-THXS-R 1504-THXS-R