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

Leg Options:: Optional None Porosa from cD Anatomically flexed form at cE Tricot Lining at cE

Tights Style:: (Required) Diagonal type (Standard Box Type Slip Form Mat Fit

Tight Top Finish:: (Required) Top Knitted Border Waist Belt Waist Belt with Touch Fastener Adjustable Waist Band Silicone Top Border 5cm

Tight Closure Options:: Optional None Zipper (with overlap) Zipper (with reinforced underlap) Hook Fastener Reinforced hook fastener Touch Fastener

Gusset type:: (Required) Gusset Standard Gusset Small Mesh Gusset Standard Mesh Gusset Small

Male Options:: (Required) Scrotum Fly Mesh Scrotum

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

Patient Name/Ref:: (Required)

Juzo Expert ET Bermudas

Juzo Expert

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