Wood Cheneau Rigo Brace

Measurement Order Form

AC New Logo 395x150-03

(*) Required Fields

Please fill out the following information to proceed with the brace production.

    * Scan preferred for ALL cases. When scan is poor, proceed to casting. The cast must include the shoulder girdle and be draped, marked with landmarks and scanned. Please send scan of cast.

    X-Ray Analysis

    Cobb Angleº / Side (Select Left or Right)

    Scoliometer Rotationº / Side (Select Left or Right)

    Clinical Evaluation


    Additional Patient Information


    Complete Order Checklist

    Views: 271
    Logout from your account