Transcription of Compression Stockings Measuring Guide - …
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Compression Stockings Measuring Guide - …
Compression Stockings Measuring GuidePatient Name: _____ Date: _____Patient Phone:_____ DOB:_____Physician Name (printed): _____ Physician Ph: _____Stocking Style:oKnee HighoThigh HighoPantyhoseoSocksMeasurements:Measure ments should be taken first thing in the morning when the legs are the least measurements for theselected style at the points listed below. Measure in inches at the widest High / Socks_____Right Ankle (b)_____Left Ankle (b)_____Right Calf (c)_____Left Calf (c)_____Length (1)_____Shoe SizeThigh High_____RightAnkle (b)_____Left Ankle (b)_____Right Calf (c)_____Left Calf (c)_____Right Thigh (f)_____Left Thigh (f)_____Length (2)Pantyhose_____Right Ankle (b)_____Left Ankle (b)_____Right Calf (c)_____Left Calf (c)_____Right Thigh (f)_____Left Thigh (f)_____Right Upper Thigh (g)_____Left Upper Thigh (g)_____Wa
Compression Stockings Measuring Guide Patient Name:_____ Date: _____ Patient Phone:_____ DOB:_____
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