How to order plus and elegance made-to-measure on FP10
mediven elegance and plus round knit made to measure is now available on FP10 in the following range of colours - beige, black, sand and moonlight blue ... and at no extra cost! Season trend colours are also available here.
We have made it simple to order and simple to measure.
mediven plus & mediven elegance made to measure order form
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mediven round knit made-to-measure referral form - mv elegance and mv plus 0 Bmade to measure FP10/GP10 order form
Once you've downloaded your made-to-measure form
- Ensure all appropriate sections completed, including patient name and number
- Sections 1, 2, 3, 4 & 5 mandatory fields
- Sections 6 & 7 are optional
- Ensure that the prescription states “mediven elegance made-to-measure" or “mediven plus made-to-measure”
- Note to Pharmacy: please advise us if invoice and delivery address are different
mediven® plus product codes:
| PRODUCT STYLE | ccl 1 | ccl 2 | ccl 3 |
|---|---|---|---|
| Below knee | DTPK1 | DTPK2 | DTPK3 |
| Thigh length | DTPT1 | DTPT2 | DTPT3 |
| Thigh Waist Attachment (R or L) | DTPW1 | DTPW2 | DTPW3 |
| Tights | DTPTG1 | DTPTG2 | DTPTG3 |
| One Legged Panty | DTPOP1 | DTPOP2 | DTPOP3 |
mediven® elegance product codes:
| PRODUCT STYLE | ccl1 | ccl2 |
|---|---|---|
| Below knee | DTLK1 | DTLK2 |
| Thigh length | DTLT1 | DTLT2 |
| Tights | DTLTG1 | DTLTG2 |
Add (if applicable):
| Silicone Top Band | DTTB |
| Zip | DTZIP |
| Closed Toe | DTTOE |
