Products, devices and information to enable health care
professionals to provide the best possible outcome
for every patient.

Providing products for the prevention, treatment and management of venous and lymphatic disorders

Custom order

As you complete the custom products order form, you will want to be sure your measurements are exact. To help, we have included measurement guides with photos.

How to order

  1. Click the download link next to the required form
  2. Complete the form details on your screen and save the file to your computer or print and enter the information by hand
  3. You can send the form by email or via our Custom Order Form below
  4. We will contact you to confirm your order

Form: Compression Glove: Made to Measure

Form: Decreasing Compression Arm Sleeve: Made to Measure

Form: Foot Cap: Made to Measure

Form: Decreasing Compression Stocking: Made to Measure

Send your order form

  1. Complete the form below
  2. Click UPLOAD FORM to add your completed form
  3. Click SEND
  4. We will contact you to confirm your order

Fields marked with an * are required

Click CHOOSE FILE to select your completed PDF order form from where you have saved it on your computer. You can add up to four files.

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Have you remembered to attached your file/s?

Please note: Your file/s may take a minute to upload depending on the speed of your internet connection. You will be redirected to a success message once this is complete.

Would you like to speak with a customer service representative or request more information?

Lymphoedema Supply Company – Working in partnership with …