Page 153 - MEDIFAB_Digital_CatalogueCA

Cushion Shape Form B 2

(Please attach to Generic Order Form)

FURTHER CUSTOMISATIONS REQUIRED:

CUSTOM PRE-ISHIAL SHELF (CODE #1111 0315)
(E) =

(F) =

HIP BELT SLOTS (PR OFF) (CODE #1111 0296)
(G) =

(H) =

( I ) =

POMMEL STRAP SLOT (CODE #1111 0297)
( J ) =

INTEGRATED POMMEL DIMENSIONS (CODE #1111 0294)
( K ) =

( L ) =

( M ) =
( N ) =

THIGH GUIDE DIMENSIONS (CODE #1111 0295)
( O ) =

( P ) =

( Q ) =

BACK CANE CUT-OUTS (CODE #1111 0291)
( R ) =

( S ) =

LEG LENGTH CUT-OUT (CODE #1111 0292)
( T ) =
s
rder Form
LEFT RIGHT

UPGRADE TO GEL PAD IN ISCHIAL REGION
(CODE #1111 0355)

O

Form B2

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