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How do I fill this out?
To fill out this order form, start by providing the patient's name and contact details. Next, ensure all required measurements are noted accurately in the form. Finally, double-check the order details before submission for correctness.
How to fill out the mediven mondi flat knit made-to-measure order form?
1
Gather the patient's information and measurement details.
2
Complete all mandatory fields in the order form.
3
Choose the appropriate garment style and color.
4
Attach any necessary prescriptions to the order.
5
Submit the completed form to the designated pharmacy.
Who needs the mediven mondi flat knit made-to-measure order form?
1
Patients requiring custom-fit compression garments for medical conditions.
2
Healthcare professionals including doctors and physiotherapists for patient orders.
3
Pharmacies to facilitate the ordering process for patients.
4
Insurance providers to validate claims for prescriptions.
5
Caregivers managing the healthcare needs of patients.
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What are the instructions for submitting this form?
To submit this form, fax it to medi UK Ltd at 01432 373510 or send it via email to m2m@mediuk.co.uk. Ensure that all required sections are fully completed. Follow up with a phone call at 01432 373508 for confirmation.
What are the important dates for this form in 2024 and 2025?
Important dates have not been specified for this form for 2024 and 2025. Users are advised to check regularly for any updates regarding this order form.
What is the purpose of this form?
The purpose of this form is to facilitate the ordering of mediven mondi flat knit compression garments. It ensures that all necessary measurements and details are accurately captured for custom fitting. This form aids healthcare professionals in prescribing the correct garments for their patients' medical needs.
Tell me about this form and its components and fields line-by-line.
- 1. Clinical contact: Contact details for the healthcare provider measuring the patient.
- 2. Patient's Name: Full name of the patient requiring the garment.
- 3. Garment Specifications: Details such as styles and measurements for accurate fabrication.
- 4. Contact Tel: Telephone number for queries and follow-ups.
- 5. Email: Email address for digital communication.
What happens if I fail to submit this form?
Failure to submit this form may result in delayed processing of the order or receiving an inadequate fit. Essential information might be missing which can lead to incorrect garment selection.
- Delays: Ordering delays due to incomplete information may affect patient comfort.
- Inaccurate measurements: Incorrectly measured garments can lead to ineffective treatment.
- Payment issues: Missing fields may also cause payment processing challenges.
How do I know when to use this form?
- 1. Post-surgery recovery: Patients recovering from surgery may need specialized garments.
- 2. Chronic conditions: Individuals with chronic venous insufficiency could require such garments.
- 3. Sports recovery: Athletes may need compression wear to aid in recovery.
Frequently Asked Questions
What types of garments can I order using this form?
You can order below knee, thigh length, and tights compression garments.
Are there mandatory fields I need to fill out?
Yes, sections 1, 2, 3, 5, 6, 7, and 10 are mandatory.
Can I attach a prescription with my order?
Yes, please attach a prescription for 'mediven mondi flat knit made-to-measure'.
Is there a way to customize the garment color?
You can choose from several colors including Caramel, Sand, and Navy.
What if I make a mistake in my order?
You can edit the PDF before submitting to ensure accuracy.
How do I know the suitable compression level?
Choose from Class 1, Class 2, or Class 3 based on medical advice.
Can I submit this form online?
Yes, you can fax or email the completed form to medi UK Ltd.
What should I do if I cannot complete a required field?
Ensure to gather all necessary patient information before filling the form.
What delivery address do I use?
Deliver the form to the address specified for medi UK Ltd.
How can I contact customer support?
You may call the provided telephone number for assistance.
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