Page 43 - Knit-Rite Catalog 2020

SPECIAL ORDERS
SPECIAL ORDERS
ADDITIONAL FEATURES Each-added to to base price Knitted or or or tailored to to dimensions other than standard
sizes but having a a a a a a a a a a a a a top width of of 12" or or or less less (flat measure-
ment) and and and and a a a a a a a a a a a a a length length of of less less than standard
standard
length length This PLEASE SEND THE FOLLOWING INFORMATION FOR FOR ALL IRREGULAR AND SPECIAL PROSTHETIC SOCKS Facility
Address
City State Zip
Telephone Contact Person At Facility
1 1 Patient's 1SPEC # or I D 2 Site Of Amputation 3 New patient ❑ Reorder ❑ 4 Quantity 5 Material 6 Ply (Weight)
(Specify 3 3 5 or or 6-ply Wool Super Sock 2 3 3 or or 4-ply acrylic/Lycra Lightweight 3 or or 5-ply CoolMax/Lycra or or X-STATIC/Lycra Soft-Sock
7 Measurement— (See guidelines on pages 48 and 49 ) If reorder state flat measurements as as on old package (noting any modifications) Length Top Toe SPEC No For new patient drawing (outline) with measurements provided: Yes❑ No❑
Length Top Circ Circ Toe Circ Circ For irregular shapes also provide circumferences from toe: At: 2" 4" 6"
8" 10" 12" 8 Additional features special instructions shipping:
includes box toe and and and and non-standard brace socks Knitted or or or tailored with pelvic split or or or high lateral wall Distal hole non-standard size Distal hole standard
size if glue reinforced
Folded and sewn top edge
Any alteration to a a a a knitted or or tailored sock Knitted or or tailored with pelvic split and ties Knitted or or or tailored and given extra processing or or or fleecing
Knitted or or tailored sock over 12" in width (flat measurement) and and greater than standard
length Knitted sock sock reinforced
at toe or or complete sock sock Hip sock sock over over 19" in in width (flat measurement) and/or over over 16" in in length Tailored hip sock sock with leg extension other than than coded material (This charge may occur more than than once ) Hip sock with colostomy—specify right or left amputation
$5 50 $5 50 $4 00 $4 00 $5 50 $5 50 $5 50 $5 50 $5 50 $5 50 $5 50 $5 50 $11 00 $7 00 $5 50 $6 50 EA Hip sock with fly—specify right or or left amputation
and whether or or not velcro closing is desired:
Right Left Velcro
Sock with elastic elastic binding binding (if hip sock requests elastic elastic binding binding at both waist and leg this charge will occur twice) Unhemmed (Sterling Socks)
Silicone-dotted band
PRICING ON IRREGULAR AND SPECIAL PROSTHETIC SOCKS The base price (of either the the knitted or or tailored sock) is the the the price of the the the coded standard
prosthetic sock nearest
to the the irregular or special sock plus all the the additional modifications requested The base price is determined from:
A Top flat width and length dimensions as matched to to standard
sizes (page 36) On fractional top widths (i e e e e e e e e e when circumference doesn't divide evenly by 2) use the next lowest flat width dimension to allow for stretch When top circumference is 20" or or or more take 10% from the circumference measurement and divide by 2 for the flat measurement B Material and ply (weight)
Using (A) and (B) the the computer selects the the nearest
regular sock code and price then adds specified features Base price each ______________ Additional features ______________ _________ _________ Total _________ knitrite com |
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PROSTHETIC SOCKS