BiaCare Product Catalog | Page 37

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PO#:

Contact:

Company:

Phone:

PLUS

ORDER FORM

Date:

Patient Name:

Age:

Ht:

Wt:

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

PRODUCT INFORMATION

LEFT LEG COLOR:

Black

RIGHT LEG COLOR:

Beige*

SIZE:

SIZE:

LENGTH:

LENGTH:

ITEM #:

ITEM #:

CompreBoot Size:

CompreBoot Size:

Black

Beige*

*Foamliner is black

SIZING & ITEM NUMBERS
Measuring instructions on page 85
SMALL

MEDIUM

REGULAR
LARGE

XLARGE XXLARGE

C 24 - 34
B 19 - 29
A 15 - 24

29 - 39
24 - 34
16 - 25

34 - 44
28 - 38
20 - 31

43 - 53
36 - 46
27 - 37

50 - 60
39 - 50
28 - 38

BLACK 1101-BPR

1102-BPR

1103-BPR

1104-BPR

1105-BPR

BEIGE 1111-BPR

1112-BPR

1113-BPR

1114-BPR

1115-BPR

TALL

SMALL

MEDIUM

LARGE

24 - 34
21 - 31
16 - 26
15 - 24

29 - 39
26 - 36
20 - 30
16 - 25

34 - 44
30 - 40
25 - 35
20 - 31

42 - 53
39 - 49
31 - 41
27 - 37

50 - 60
45 - 55
35 - 45
28 - 38

BLACK 1101-BPT

1102-BPT

1103-BPT

1104-BPT

1105-BPT

BEIGE 1111-BPT

1112-BPT

1113-BPT

1114-BPT

1115-BPT

C1
C
B
A

I
J
K

SMALL
REGULAR LONG
28 - 36
28 - 36
22 - 26
22 - 26
14 - 18
19 - 23

COMPREBOOT
MED/LRG
REGULAR LONG
39 max 39 max
30 max 30 max
18 - 20
23 - 25

XLARGE XXLARGE

XL/XXL
REGULAR LONG
44 max 44 max
33 max 33 max
20 - 22
25 - 27

Foot measuring instructions on page 45

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