Pertex Below Knee

Type (Required)

Sized

Custom Made

Compression (Required)

23-32mmHg (RAL Class 2)

34-46mmHg (RAL Class 3)

Grip Top (Required)

No

Yes

Grip Top Style Optional

Size Optional

View Sizing Chart

Width Optional

Length Optional

Foot Optional

Toe Optional

Heel (Custom Made) Optional y-Heel (default) t-Heel

Heel Optional y-Heel (default) t-Heel

Colour Optional Selected Colour is None

Beige

Black

Light Beige

Measurement Form Optional

For orders: attach measurment chart here.
For quotes: upload to the quote request form.

Special Options Optional None I HAVE NOT requested any chargeable special options such as straps, zips, pockets, pads or linings I HAVE requested chargeable special options

Patient Reference Optional

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