_BiaCare_Catalog | Page 66

THERABra™ P: 866.931.0876 F: 866.931.0052 Measure & Order Form Sales@BiaCare.com PO#: Date: Company: Phone: Contact Name: Patient: Sex: Age: Ht: Wt: Bill-To Name & Address: Ship-To Name & Address: PRODUCT INFORMATION ChipPad™ (additional cost): Cup: Length: Petite Regular Bra: Full It is recommended that if the patient is 5’3” or shorter in height, they select Petite Length. Bra: Quarter Other (see pg. 55): Item #: MEASURING INSTRUCTIONS Step 1 Bra: Half Step 2 Step 3 Step 4 Band Size: To determine the band size, take the larger measurement of Steps 1 & 2 and round odd numbers up. Measure the circumference in inches directly under the bust (where a regular bra sits). Move 2” - 3” down towards the rib cage from Step 1 and measure circumference in inches. Measure circumference at the fullest part of bust. Step 1: Step 2: Step 4: SIZING & ITEM NUMBERS Step 5 A/B Cup Size: SMALL To determine the cup size, subtract the band size (Step 3) from measurement taken at Step 4. Use the difference in the chart below to select cup size. C/D - SMALL Step 3: 4” - 6” 6” + XXLARGE MEDIUM LARGE XLARGE XXLARGE Regular 2901-CD-R 2902-CD-R 2903-CD-R 2904-CD-R 2905-CD-R (use in chart below) DIFFERENCE: 2” - 4” XLARGE 28 / 30 36 / 38 40 / 42 44 / 46 32 / 34 Petite 2901-CD-P 2902-CD-P 2903-CD-P 2904-CD-P 2905-CD-P = 2” or less LARGE Regular 2901-AB-R 2902-AB-R 2903-AB-R 2904-AB-R 2905-AB-R Step 4: Difference: MEDIUM 28 / 30 36 / 38 40 / 42 32 / 34 44 / 46 Petite 2901-AB-P 2902-AB-P 2903-AB-P 2904-AB-P 2905-AB-P CUP SIZE: = A/B = = = DD/E C/D SMALL 28 / 30 DD/E 32 / 34 LARGE 36 / 38 XLARGE XXLARGE 40 / 42 44 / 46 Petite 2901-DDE-P 2902-DDE-P 2903-DDE-P 2904-DDE-P 2905-DDE-P Regular 2901-DDE-R 2902-DDE-R 2903-DDE-R 2904-DDE-R 2905-DDE-R Increase one band size BiaCare.com MEDIUM • P: 866.931.0876 • F: 866.931.0052 50