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NOTE: This is NOT a secure site. We do not recommend you use a patient's name, but rather an identification code to comply with HIPAA regulations. 
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Patient Information

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Customer Information

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Country: if not USA
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Realastic® Leg Cover Details
Color Selection from R-issue Swatch:

*

Note:  Select color that is one shade lighter than required to match patient's skin tone.  Final matching of the patient's skin tone is best performed after you receive the prosthesis

To order, match the dimensions of your finished prosthesis with the chart below and order a cover two sizes smaller.  For example, if your prosthesis has a calf circumference of 14" and is a right (Product #50061), then to ensure a tight fit, order Product #50041, which is two sizes smaller.

  Product Number Circumference of Maximum Length
  Right Left Ankle Calf Regular Extended
50011   6 3/4 10 17 1/4 21 1/2
  50012 6 3/4 10 16 1/2 22
50021   7 11 16 1/2 24
  50022 7 11 17 1/2 25 1/2
  50032 7 3/8 11 3/4 N/A 27
50041   7 3/4 12 1/2 20 1/2 26 1/2
  50042 7 3/4 12 1/2 20 1/2 26 1/2
50051   8 13 1/4 22 N/A
  50052 8 13 1/4 22 1/2 25
50061   8 1/2 14 21 26 1/2
  50062 8 1/2 14 21 27
50071   9 15 22 N/A
  50072 9 15 22 26 1/4
 

 

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