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Patient Quality Measurement

Questionnaire

At Gottfried Medical, Inc., our commitment lies in the wellbeing and satisfaction of our clients. We deeply value the insights gained from feedback on our products and services, which shape our ongoing efforts to enhance quality.

Gottfried Medical holds accreditation from The Compliance Team and proudly maintains Exemplary Provider status.

To assist us in upholding these standards, we kindly invite you to participate in a brief survey.

Thank you for your cooperation!

Questionnaire Patient Quality

Tell us how we are doing

Measuring & Ordering Supplies

Gottfried Medical provides custom kits to ensure accurate measuring and completion of order forms for each custom compression therapy garment. Complete the form below to request the kits you need.

Measuring and ordering supplies are intended for use only by trained professionals. Requests from unknown sources will be verified before they are shipped. Most of our forms are available for download as PDFs. They are listed by form specification on our forms download page.

Order Measuring Kits

Send us an email to request measuring and ordering supplies.

Please send all email inquiries using the button below. Be sure to include your name, organization, contact information (email and phone) and subject of your inquiry in the email.

We do our best to respond to all email inquiries within 24 hours or the next business day.

This email address is being protected from spambots. You need JavaScript enabled to view it.

Measuring and ordering supplies are intended for use only by trained professionals. Requests from unknown sources will be verified before they are shipped. Most of our forms are available for download as PDFs. They are listed by form specification on our forms download page.

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Qualifying Business or Institution Type *
POC First Name *
POC Last Name *
Company or Institution Name *

Mailing Address for Company or Institution

Address 1 *
Address 2 *
City *
Country *
State/Region/Province *
Zip/Postal Code *

Contact Information for Company or Institution

Email *
Phone *
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    Standard Forms: Use with Paper Tapes (Below)

    Click box to order

    Form F 029
    Form F 034
    Form F 038
    Form F 032
    Form F 035
    Form F 039
    Form F 033
    Form F 037
    Form F 040

    IMF Forms: Use with Std. Inch or Metric Tapes

    Click box to order

    Form F 030
    Form F 031
    Form F 036

    Misc. Forms

    Click box to order

    Form F 027 (Referral)
    Form F 028 (Rx blank)

    Paper Tape Kits

    Includes forms, applicable one-use paper tapes, Rx blank, pre-addressed return envelope

    Upper Extremity
    Knee
    Chest, Waist, Knee & Stump
    Glove & Gauntlet
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