Shoulder Device Measurement Form Phone: 317-892-8180Fax: 317-534-3440sorgisports@sorgisports.com STEP 1: Select Product Line *JAS (Rental)JAS EZ (Purchase)JAS Dynamic (Renatl)STEP 2: Select Side *LeftRightSTEP 3: Personal Information Height (In) *Weight (lbs) *STEP 4: Choose Model *Body Cuff (Mobile, ambulatory use)Floor Stand (None-mobile, stationary use) STEP 5: Take Measurements (Refer to Measurement Guide) If Either were selected - A, B, C, E, F, G, H, I, J (See Note 1) STEP 6: Record Measurements (in Inches) Below A Circumference: Largest point of BicepB Circumference: Largest point of ForearmC Circumference: 1 1/2" proximal to Ulnar StyloidD Length: Axilla to Medial EpicondyleE Length: Axilla to Crease of ElbowF Length: Crease of Elbow to Ulnar StyloidG Length: Lateral Epicondyle to Ulnar StyloidH Length: Axilla to WaistI Circumference: Chest at AxillaJ Circumference: Waist at Belly ButtonHTML FieldsetContact Info Name *Email *Phone * VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
