Please complete insurance form below: be sure to complete all fields as this information will be used to process your order.
We will contact your Physician and Insurance Company to verify your benefit and eligibility to secure approval for the product you need.
Our Customer Service Department will contact you within 24 hours with details regarding your order.
If you have any questions, please contact 805-449-1559
|Mesaure around the Wrist|
|Small||5 – 6.5||12 – 16|
|Medium||6.5 – 8||16 – 20|
|Large||8 – 9.5||20 – 24|
|Extra Large||9.5 – 11||24 – 28|
|Dimensions||10.5 × 16 × 1 cm|
Small, Medium, Large, X Large