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How do I fill this out?
To fill out the form, start by entering the patient's and fitter's names. Then, select the appropriate size based on the provided chart. Lastly, ensure to include the date for reference.
How to fill out the Juzo Compression Wrap Calf Segment Size Chart?
1
Enter the patient's last name and first name.
2
Input the fitter's last name and first name.
3
Select the size based on the provided size chart.
4
Record the date of filling the form.
5
Review all entered information for accuracy.
Who needs the Juzo Compression Wrap Calf Segment Size Chart?
1
Patients requiring compression therapy for medical conditions.
2
Medical fitters who assist patients in choosing the correct sizes.
3
Healthcare providers prescribing medical compression garments.
4
Physical therapists working with patients who need compression aids.
5
Insurance companies verifying the need for compression therapy products.
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What are the instructions for submitting this form?
To submit this form, please email it to orders@absolutemedical.com or fax it to 866-860-9358. For online submissions, visit our website at absolutemedical.com. Ensure all fields are completed before submission to avoid any delays.
What are the important dates for this form in 2024 and 2025?
Important dates related to this form will be updated as needed for 2024 and 2025. Keep an eye out for any changes or announcements regarding these dates on our website. Adhering to these dates ensures compliance with required processes.
What is the purpose of this form?
The main purpose of this form is to facilitate the ordering and fitting of Juzo compression wraps accurately. It serves as a standardized guide for both patients and medical professionals when determining the size of the compression garment needed. Proper use of this form is crucial for ensuring effective treatment outcomes for patients requiring compression therapy.
Tell me about this form and its components and fields line-by-line.
- 1. Patient Last Name: The surname of the patient needing the compression wrap.
- 2. Patient First Name: The given name of the patient.
- 3. Fitter Last Name: The surname of the fitter assisting the patient.
- 4. Fitter First Name: The given name of the fitter.
- 5. Date: The date when the form is being filled out.
- 6. Size: The selected size based on the size chart provided.
What happens if I fail to submit this form?
If the form is not submitted correctly, you may experience delays in receiving the necessary compression wrap. Incomplete or inaccurate submissions can lead to incorrect sizing and ineffective treatment. Always ensure that all fields are filled out as required before submitting.
- Delays in Treatment: Failure to submit the form properly may delay the patient’s access to critical compression therapy.
- Incorrect Sizing: Incomplete information could result in the fitting of the wrong size, leading to ineffective treatment.
- Communication Issues: If the form is not clear, it may cause miscommunication between patients and fitters or healthcare providers.
How do I know when to use this form?
- 1. Compression Therapy: When a patient is prescribed compression therapy, this form is used to determine the correct garment size.
- 2. Medical Fittings: During fittings, this form helps fitters to take accurate measurements and select sizes.
- 3. Health Insurance Verification: Insurance providers may request this form for verifying patient needs for compression wraps.
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