Compression Stocking Fitting Form
Please provide fitting details and sizing preferences for compression stockings.
Full Name of Intended Wearer
*
First Name
Last Name
Contact Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Purpose for Compression Stockings
*
Medical (e.g., swelling, DVT prevention)
Athletic/Performance
Travel
Everyday Comfort
Other
Stocking Type
*
Knee High
Thigh High
Pantyhose/Full Length
Maternity
Other
Preferred Compression Level
*
8-15 mmHg (Mild)
15-20 mmHg (Moderate)
20-30 mmHg (Firm)
30-40 mmHg (Extra Firm)
Not Sure
Ankle Circumference (cm)
*
Calf Circumference (cm)
*
Thigh Circumference (cm)
Leg Length (heel to knee or thigh, cm)
Submit Fitting Details
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