Veni Below Knee

Compression (Required)

18-21mmHg (RAL Class 1)

23-32mmHg (RAL Class 2)

34-46mmHg (RAL Class 3)

Type (Required)

Sized

Custom Made

Grip Top (Required)

No

Yes

Grip Top Style Optional

Size (Required)

View Sizing Chart

Width Optional

Length Optional

Foot Optional

Toe Optional

Measurement Form: Optional

file types are bmp, gif, jpg, jpeg, jpe, jif, jfif, jfi, png, wbmp, xbm, tiff

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

Colour (Required) Selected Colour is

Black

Beige

Pearl

Smoke

Caramel

Mocha

Burgundy

Slate

Navy

White

Pattern Optional None Zig-zag Honeycomb Pinstripe Diamond Narrow Rib

Patient Reference Optional