Measuretrixner2019-05-28T18:50:15+02:00With this form you can send us your measurements.You are a*Private individualOrthopaedic technicianGenderMrs.Mr.Name First Last CompanyName of the CustomerSide of the amputationleftrightAmputation levelThighLower legMeasuring the prosthetic1.Measure from the point of the mechanical knee to the upper part of the forefoot (in cm)1. Measure from the lowest point of the upper edge of the shaft (front) to the upper part of the forefoot (in cm)2. Measure the circumference of the widest part of the shaft (in cm)Measuring the healthy leg2. The widest calf circumference of the healthy leg (in cm)3. The widest calf circumference of the healthy leg (in cm)Photos Drop files here or Accepted file types: jpg, png, pdf.Send us at least 2 photos (front and side view) of the prosthesis. Ideally and with lower leg prostheses, we need a scan as an alternative. Since we have limited the files to 10MB you can also send us scans via wetransfer.com.Data protection* Yes, I have read the privacy policy and I accept it.-> Privacy policyCAPTCHACommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
