Custom Bracing Forms

Option 1: Online Form

Click here for the online form
(Note: This form works with AOP files or CCMI measurements only!)

Option 2: PDF Form

• Step 1: Click the link below to download a custom bracing order form for either the A22 or Defiance custom knee brace.

  Download A22 Order Form
  Using NEW Mark III Measuring Device

  Download Defiance Knee Order Form
  Using NEW Mark III Measuring Device

  Please note: This document is in PDF format. You must have an Adobe Acrobat Reader installed to view this file. If you do not have the Adobe Acrobat Reader, click here to download one for free.

• Step 2: Print the form and fill it out.
• Step 3: Fax the completed form to 1-800-936-6569 or email it to Customer Care.