Custom Order

Products, devices and information to enable health care professionals to provide the best possible outcome for every patient.

Providing products for the prevention, treatment and management of venous and lymphatic disorders

Custom Order

As you complete the custom products order form, you will want to be sure your measurements are exact. To help, we have included measurement guides with photos.

Form: Compression Glove: Made to Measure

Form: Decreasing Compression Arm Sleeve: Made to Measure

Form: Foot Cap: Made to Measure

Form: Decreasing Compression Stocking: Made to Measure

Send Your Order Form

    Click CHOOSE FILE to select your completed PDF order form from where you have saved it on your computer. You can add up to four files.

    Upload Only PDF File
    File size exceeds maximum limit 10 MB

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    Please note: Your file/s may take a minute to upload depending on the speed of your internet connection. You will be redirected to a success message once this is complete.

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