C O M P R E S HO RT S TANDAR D
P.O. # Account # Contact Date
Phone Patient Name Age Height Weight
Company Name
Dropship Name & Address
PRODUCT INFORMATION
Size
■ STANDARD
Standard Size Item #
A PDF of this order form can be found online at bit.ly/SIGmccOrderforms
C O M P R E S H O R T S S I Z I N G C H A R T ( WA I S T, H I P, M I DT H I G H )
WAIST HIP MIDTHIGH ITEM NUMBER
WAIST SMALL 69–76cm 84–91cm 41–46cm 1301-CS
SMALL MAX 76–86cm 91–102cm 41–46cm 1301-CM
MEDIUM 76–86cm 91–102cm 46–53cm 1302-CS
HIP MED. MAX 86–97cm 102–112cm 46–53cm 1302-CM
LARGE 86–97cm 102–112cm 53–61cm 1303-CS
LRG MAX 97–112cm 112–127cm 53–61cm 1303-CM
XLARGE 97–112cm 112–127cm 61–71cm 1304-CS
MID XLRG MAX 112–132cm 127–147cm 61–71cm 1304-CM
THIGH 2XLARGE 112–132cm 127–147cm 71–81cm 1305-CS
2XLRG MAX 132–152cm 147–168cm 71–81cm 1305-CM
3XLARGE 132–152cm 147–168cm 81–91cm 1306-CS
3XLRG MAX 152–172cm 168–188cm 81–91cm 1306-CM
4XLARGE 152–172cm 168–188cm 91–101cm 1307-CS
4XLRG MAX 172–193cm 188–208cm 91–101cm 1307-CM
5XLARGE 172–193cm 188–208cm 101–112cm 1308-CS
[email protected] • P: 800-322-7744 • F: 800-481-5488
C O M P R E S HO RT C U S TO M
P.O. # Account # Contact Date
Phone Patient Name Age Height Weight
Company Name
Dropship Name & Address
PRODUCT INFORMATION
Size
■ CUSTOM
Custom Waist Measurement Custom Hip Measurement Custom Midthigh Measurement
A PDF of this order form can be found online at bit.ly/SIGmccOrderforms
WAIST
CUSTOM SIZE
Excellent choice for patients with lipedema, or
who are outside of standard size ranges.
HIP
STEP ONE
Record the WAIST, HIP, and MIDTHIGH measurements
STEP TWO MID
Measure from the groin down and indicate the garment THIGH
inseam length, record in the corresponding box
STEP THREE
Mark the end of the inseam and take a circumference
measurement at that point, record in the corresponding box
After recording these measurements,
please call Customer Care: 1-800-322-7744.
MARK THE END OF INSEAM:
INSEAM AND TAKE INDICATE HOW
CIRCUMFERENCE LONG TO MAKE
MEASUREMENT THE GARMENT
[email protected] • P: 800-322-7744 • F: 800-481-5488