2018 05 Bestellformular SkolioseKorsett EN · To complete your order we need the following...
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ORTHOLUTIONS scoliosis brace (ready to try on scoliosis brace) from scanned data / plaster cast ORDERING INFORMATION Company Patient Contact Weight Height Initials Customer No. Date Of Birth Sex M F Tel/Fax Diagnose E-Mail Date MODEL Shirt Size XS S M L XL Part No. SIGNATURE SPECIAL INSTRUCTIONS Quantity Color COBB cth th L thL Prev. Braces Menarche Risser Ortholutions GmbH & Co. KG · Am Oberfeld 8 · 83026 Rosenheim · Germany · Phone +49 (0)8031-3543330 · www.ortholutions.de Fax +49 (0)8031-354333-200 [email protected]Purchaser ORDER FORM Circumference Spina ant- post Height A-P L-L
2018 05 Bestellformular SkolioseKorsett EN · To complete your order we need the following documents:\r1. X-Ray \(jpeg, high resolution 300 dpi max 1 MB\)\r2. 7 clinical photos of
JSSchreibmaschineTo complete your order we need the following
documents:1. X-Ray (jpeg, high resolution 300 dpi max 1 MB)2. 7
clinical photos of the patient3. 3D scan
