CIRCAID Non-Custom Lower Leg Garment Measurement …

1 Luna Medical, Inc. Specialists in Venous & Lymphatic Insufficiencies1360 N. Sandburg Terrace Suite #103 Chicago, IL 60610 Phone (800) 380-4339 Fax (888) 696-0299 Account Number: 120167(example PT/ OT/ PTA)Date: Non-Custom Lower Leg Garment Measurement Form & sizing ChartME A S U R E ME N T SLEFTRIGHTBB1 CHB-D P R E MI U M & E S S E NTIAL SSIZECIRCUMFERENCE MEASUREMENTBB1 CSMALL15-23cm20-28cm30-38cmMEDIUM20-28cm 25-33cm36-43cmMEDIUM FULL CALF20-28cm33-40cm43-50cmLARGE25-33cm30- 38cm41-48cmLARGE FULL CALF25-33cm38-46cm48-56cmXL30-38cm33-41c m41-51cmXL FULL CALF30-38cm41-51cm51-61cmXXL*33-41cm43-5 3cm53-64cmF O OT O P T I O N SS I Z E:QTY:Comfort Accessory Kit (3 Pairs of Standard Comfort Compression Anklets , 3 Pairs of Large Comfort Compression Anklets , 3 Comfort Leg Liners & 3 Comfort PAC Bands )Comfort Compression Anklets (Standard max circumference H = 36cm B = 27cm) (Large max circumference H = 41cm B = 50cm)Comfort PAC Band (Standard max circumference H = 36cm B = 27cm) (Large max circumference H = 41cm B = 50cm)Comfort EZ Single-Band Ankle-Foot Wrap (3 )N/AComfort EZ Single-Band Ankle-Foot Wrap (4 )N/AStandard Juxta-Fi t Ankle-Foot Wrap (max H circumference 34cm)Standard Juxta-Fi t Interlocking Ankle-Foot Wrap (max H circ.)

2 34cm) custom Juxta-Fit Interlocking Ankle-Foot WrapJuxta-Lite Ankle -F oot Wrap (max H circumfer ence 31cm) A F W ME A S U R E ME N TSIZEHSMALL19-24cmMEDIUM24-29cmLARGE29-3 4cmANCIL L A R I E SS I Z E:QT Y:COMFORT COVERUP FOR Lower (Small: 34cm - 50cm)COMFORT COVERUP FOR Lower (Large: 51cm - 80cm)COMFORT COVERUP FOR Lower (Small: 34cm - 50cm)COMFORT COVERUP FOR Lower (Large: 51cm - 80cm)COMFORT CAPRI (For a sizing chart visit )INSTRUC TIONAL DVDL E GGIN G O P T I O N SS I Z E:QT Y: STANDARD Lower LEGGING STANDARD Lower LEGGING L E N G T H ME A S U R E ME N TSIZEB-DSHORT under 36cmLONG over 36cm * If measurements fall within XXL size range, please EZ Single-Band Ankle -F oot Wrap included by default Juxta-Lite Ankle -F oot Wrap is available only in sizes Small and Medium C omfort Compression Anklets included by default Garment .

3 After measuring the smallest dimension of the ankle and the largest dimension of the calf, if any of the measure ments do not fall within one of these size ranges, call (800) 247-2243. Length measure ment is for Juxta-Fit only, actual legging lengths are 28cm (Short) and 36cm (Long); Ready-Fit and Classic-Flex have one adjustable length. Note 1in = SUBJECT TO CHANGE WITHOUT NOTICE. B-DBCHB1 25 cm above malleolus 15 cm above malleolus 5 cm above malleolusS I ZI NG CHARTLuna Medical, Inc. Specialists in Venous & Lymphatic Insufficiencies1816 W. Belmont Avenue Suite 1 Chicago, IL 60657 Phone (800) 380-4339 Fax (888) 696-0299