Your name:*
The user/patient is:
Funding body:*

Client Name*
Seated Measurements:
With any seating equipment, these measurements allow us to make sure we quote on the correct size.
A Hip width:
B Thigh length:
C Shoulder height:
D Chest width:
 
Standing Measurements:
With any standing equipment, these measurements allow us to make sure we quote on the correct size.
G Chest circumference:
H Inner leg length:
I Floor to axila height:
 
Seated Measurements cont...
E Axila height:
F Lower leg length:
 
Standing measurements cont...
J Foot to head:
F Foot to patella:
 
Any drawings or images etc...
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