Lastofa Forte AD Knee High

Colour: (Required) Sand Snow Foliage Sunset Soil Ocean Slate Lava Fashion Colour

Decorative Seam: Optional None Croco Silver Bronze Python Ruby

RAL Compression Class:: (Required) 1 2 3 4

Foot Style - Left:: (Required) Open Toe Closed Toe Asymmetrical Foot

Foot Style - Right: (Required) Open Toe Closed Toe Asymmetrical Foot

Heel Style Left:: (Required) Round Heel (Standard) 90 degree / T- Heel Open Heel for Scar Care

Heel Style Right:: (Required) Round Heel (Standard) 90 degree / T- Heel Open Heel for Scar Care

Stocking Border: (Required) No Grip Top Silicone Grip Top 3cm Silicone Grip Top 5cm Lace Grip Top 5cm Rubber Grip Top (without Silicone) Elastic Band (5cm) Hip Fastening - Right Hip Fastening - Left 3/4 Grip Top on Inner Circumference

Add Ons: Optional None Lateral Elevation Straight Border Upper Leg Elevation

Pads: Optional None Rubber Pads (Seperate) Lining Fabric Lymph Pad Strong Lymph Pad Normal Pad Cushion Ankle Pad - inside Ankle Pad - Outside

Zip - Left:: Optional None Short Long

Zip - Right: Optional None Short Long

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

Patient Name/Ref:: (Required)

Lastofa Forte AD Knee High - Pair

Lastofa Forte

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Lastofa Forte

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