Compression Garment Order Forms

Our JOBST® Elvarex®, flat-knit, custom-fit product range requires a measurement form to be completed by a trained therapist. We have listed the order forms below and these can be viewed and printed, as required. Please note, the same form is used for JOBST Elvarex, JOBST Elvarex Soft and JOBST Elvarex Soft Seamless.

Lower Limb

JOBST Elvarex Lower Limb Order Form

Upper Limb

JOBST Elvarex Upper Limb Order Form

Foot Cap

JOBST Elvarex Foot Cap Order Form

For all product and order enquiries, please contact our Customer Service team on 0845 122 3600 (option 1) or click here for further information.

For further information about our products, please click the product name below:

JOBST Elvarex
JOBST Elvarex Soft
JOBST Elvarex Soft Seamless

JOBST Elvarex - the number 1 flat-knit garment on prescription.

Please note that these order forms are supplied for use by healthcare professionals who have been specifically trained and are qualified to measure for JOBST Elvarex custom-fit garments. Each garment is made to the individual measurements and specifications provided on this order form. BSN medical takes no responsibility for any measurement inaccuracies, so please check thoroughly before submitting your order. If you have any queries relating to either measuring or garment style, please do not hesitate to contact Customer Services (0845 122 3600, option 1) or the Compression Helpline (0800 389 8424).

Disclaimer
The product information on this page is not intended to be used by health care professionals or users in the United States and may not comply with the regulatory standards of the United States. Please refer to the product label and / or package insert for full instructions on the safe use of these products.  

PRODUCT INFORMATION

Customer Service