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Order Forms
Download and Print PDFs of our Most Current Forms
The following forms are for the measuring and ordering of Gottfried brand compression therapy
supports and garments. They are intended for use by qualified professionals only.
Downloadable forms are below,Visit our Website to
download these forms, or you may request they be sent to you.
Obsolete versions of these forms are still available.
Other Manufacturer's Forms
Our measuring system and forms are interchangeable with those used by other major manufacturer's and the IMF system. We gladly accept orders submitted on forms other than our own. Authorization to substitute is not required.
All orders require a prescription, regardless of the form used.
Gottfried Medical Forms for Use with Paper Tapes
| Form No | Description | View Form | Open | Down- load |
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| 11 (front) | (A-13-AY3) Order chest, waist, thigh & knee length supports |
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 One ZIP file of all nine forms |
| 11 (back) | (A-13-AY3) Instructions on how to measure with paper tapes |
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| 14 | (A-13-SY) Order stump supports |
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| 21 | (A-12A-W3) Order arm sleeves & gauntlets |
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| 31 (front) | (B-1-W) Order gloves and gauntlets |
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| 31 (back) | Instructions for Form Nos. 31 & 32 |
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| 32 | (B-1A-W) Scaled tracing of hand for optimal fit |
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| 33 | (B-2-W) Order face masks & chin straps |
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| 34 | (B-3-W) Order body suits, briefs & boleros |
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Gottfried Medical IMF Forms, for Use without Paper Tapes
| Form No | Description | View Form | Open | Down- load |
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| 12 (front) | (A-11-W) Order anklet, thigh, knee length, and AK or BK stump supports |
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One ZIP file of all four forms |
| 12 (back) | (A-11-W) Instructions on how to measure without paper tapes |
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| 13 | (A-13-Y) Order waist length and panty girdle supports |
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| 22 | (A-12-W) Order arm sleeves and gauntlets |
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Printing PDFs
The default printer setting for some versions of Adobe Acrobat Reader reduce (shrink) the forms. In some instances (such as form B-1A-W) maintaining the form at 100% is critical for proper engineering of the product being ordered. Please check and confirm your settings before printing.
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Learn More about Gottfried Brand Products
Visit our Website for more information on these subjects:
For Immediate Assistance
Call us, toll-free, (800) 537-1968, M - F, 8am - 6pm, Eastern Time. Visit our Website for more information on the form-based inquiry options available to you and answers to questions we are most frequently asked.
Call us, toll-free, (800) 537-1968, M - F, 8am - 6pm, Eastern Time. Optionally, select an inquiry form that best describes you, your business or institution. Follow this link for the answers to questions we are most frequently asked.
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©1999-2010, Gottfried Medical, Inc. |
Important Note to Consumers: Gottfried Medical, Inc., has provided this information in an effort to answer some of the common questions professionals ask about our company and its products and services. If you have any questions regarding this information, or are concerned about your health, we urge you to consult a physician.
