TLSO Measurement Form
Patient Information
Patient Name:
 
Age:
 
Sex:
 
Diagnosis:
 
Current User:
 
X-Ray:
 
Orthosis Design
To a Fitting:
 
Opening:
 
Reason:
 
Offset Opening:
 
Cut Out Location:
 
Reinforcements:
 
Curve Type:
 
Lordosis:
 
Abdominal Rectification:
 
Additional Specification:
 
Axilla Extension:
 
Lumbar Pad:
 
Thoracic Pad:
 
Trochanter Extension:
 
Materials
Material:
 
Lining:
 
Straps:
 
Transfer:
 
Colour:
 
Thickness:
 
Pads:
 
Shoulder Straps:
 
Measurements
 
Additional Information
 
Order
Date required:
 
Your name:
 
Phone:
 
Delivery / Collection:
 
Company:
 
Mobile:
 
Aftercare Leaflet:
 
Job Title:
 
Email:
 

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Custom-made Orthoses to ensure maximum quality, benefit and comfort for patients.

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Approach

With over 30 years’ experience working with Orthotists, the NHS and Private Hospitals, we are experts in the manufacture of custom-made Orthoses and dedicated to shaping lives.

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If you have any questions or would like more information about the services and products we offer, please contact us.

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