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ITS CAD Measurements
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I.T.S. Transfemoral CAD Measurements
Company Name
Company Phone Number
PO Number
Patient
Preferred Due Date
Side
Left
Right
Suggested Brim Style
....
Narrow ML
Quad
Strong ML
Knee Disartic
Activity Level
Please measure the Ishcial Tuberosity in INCHES!
Length
Level
Circumference
-2
-4
-6
-8
-10
-12
-14
All measurements must be included!
Comments
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