Lastofa Forte MASTER TEMPLATE

Juzo Expert Colour:: (Required) Sugar Sesame Almond Cinnamon Cocoa Poppy Seed Blueberry Black Pepper Trend / Fashion Colour

Juzo Expert Colour Option:: Optional None Batik White Batik Black Dip Dye Blueberry Dip Dye Poppy Seed

RAL Class:: (Required) Class 1: 18-21 mmHg Class 2: 23-32 mmHg Class 3: 34-46 mmHg Class 4: >49 mmHg

Customisation Option:: Optional None Overheight Max Overheight at the Front of the Leg

Border:: (Required) No Border Silicone Border 3.5cm Silicone Border 5cm Balance border 3.5cm Balance border 5cm Lace Border 5 cm Elastic Border 3.5cm Silicone Free

Additional Options:: Optional None Silicone Stopper Outer Side Silicone Stopper Front Hip Attachment Left Hip Attachment Right Hip Attachment - worn as a pair

Right Foot Style:: (Required) Open Toe Closed Toe Ball Stub / Diagonal Foot

Left Foot Style:: (Required) Open Toe Closed Toe Ball Stub / Diagonal Foot

Additional Foot Options:: Optional None Additional Instep Stitching Tricot Lining at cY Pressure Pads by Dr Rotter Malleoli Pads Glued In Pads Loose Pads With insert Pocket

Zip Option - Right:: Optional None Zip Right

Zip Option - Left:: Optional None Zip Option - Left

Measured by:: (Required) Marianne Nicola Therapist Self / Family Other

Patient Name/Ref:: (Required)

Juzo Expert AD Pair Knee High

Juzo Expert

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Juzo Expert

Juzo Expert AD Pair Knee High

Juzo Expert Cotton AD Pair Knee High

Juzo Expert AD Knee High Left Leg

Juzo Expert AD Knee High Right Leg

Juzo Expert Cotton AD Knee High Right Leg

Juzo Expert Cotton AD Knee High Left Leg