How to order mondi or cosy made-2-measure on FP10
mediven mondi and mediven cosy made-to-measure are both now available on FP10 in the following range of colours - caramel, sand, cashmere, black, navy, anthracite, blue jeans, grey, medi magenta, mango yellow and avocado green ... and at no extra cost!
We have made it simple to order and simple to measure.
mv mondi and cosy made-2-measure order form
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EFORM FP10 mv mondi and cosy m2m referral form 397 KB
EFORM FP10 mv mondi and cosy m2m referral form
Once you've downloaded your made-2-measure form
- Ensure all relevant sections are completed, including patient name and number
- Attach to a prescription for "mediven mondi flat knit made-to-measure" or "mediven cosy flat knit made-to-meausre"
- Note to Pharmacy: please advise us if invoice and delivery address are different
mediven mondi® product codes:
PRODUCT STYLE | ccl 1 | ccl 2 | ccl 3 |
---|---|---|---|
mondi below knee | DTMK1 | DTMK2 | DTMK3 |
mondi thigh length | DTMK1 | DTMK2 | DTMK3 |
mondi thigh length w/waist att | DTMW1 | DTMW2 | DTMW3 |
mondi one legged panty | DTMOP1 | DTMOP2 | DTMOP3 |
mondi tights | n/a | DTMTG2 | DTMTG3 |
mediven cosy product codes:
PRODUCT STYLE | ccl 1 | ccl 2 | ccl 3 |
cosy below knee | DTCK1 | DTCK2 | DTCK3 |
cosy thigh length | DTCT1 | DTCT2 | DTCT3 |
cosy thigh length w/waist att | DTCW1 | DTCW2 | DTCW3 |
cosy tights | DTCTG1 | DTCTG2 | DTCTG3 |
Add (if applicable)
Silicone Top Band | DTTB |
Zip | DTZIP |
Closed Toe | DTTOE |