Measuring for a custom flat-knit garment takes real clinic time: 45 minutes to an hour of measuring, plus garment selection, insurance paperwork, follow-up calls and refits. If your patient can get to our fitting suite in Richland, just east of Kalamazoo, you can hand that work to us and keep your treatment time for treatment.
Book a measuring appointment →
When is the patient ready for a custom garment?
Measure once the limb has reached its best achievable reduction. In practice, look for:
Stable girths at the same landmarks and time of day across two weekly checks
Softer tissue: pitting resolved or eased, fibrotic areas as soft as they're likely to get
Steady pump or wrap use long enough that reduction has levelled off, not just slowed for a week
Fewer wrap adjustments: patients who stop needing to tighten their wraps are often close
For more detail, see Why the Limb Should Be Reduced Before Ordering Custom Garments and Ordering a Custom Garment After Pump-Assisted Reduction.
What we take off your plate
Measuring in our private fitting suite, by certified fitters who measure flat knit every day
Choosing the garment with you: brand, knit, compression class, closures and add-ons
Insurance: we check benefits and request the paperwork the treating provider needs to sign
Ordering with the manufacturer and tracking it until it arrives
Fitting and adjustments: we check the fit on the patient and work with the manufacturer on any adjustments
Replacements: we remind the patient when they're due for new garments
How to send a patient
Send the referral by fax to 800-886-4201 or through our secure referral form. Include the diagnosis, affected area, the compression level you have in mind, and your most recent measurements and plateau date if you have them.
Book the measuring with the Book a Fitting form, or have the patient call 800-883-1549. Morning appointments work best, ideally right after a pump or treatment session.
Have the patient come in their wraps or bandages. We remove them just before measuring so we capture the limb at its smallest.
What to expect on timing
We can often see your patient for measuring soon after the referral arrives. Custom garments are made to order, so they usually take a few weeks to arrive once the order is placed. Keep the patient in their wraps, bandages or current garment until the custom garment is fitted, so the reduction you worked for holds.
What we send back to you
After the fitting, we let you know what was ordered, when it was fitted, and any fit notes that matter for your plan of care. If something isn't right, we handle the adjustment.
Not close to Richland?
You can still hand off everything except the measuring. Measure in your clinic with the manufacturer's form, send it with the referral, and we'll handle the garment choice, insurance, ordering and follow-up. Our Measuring Tips for Custom Flat-Knit Garments can help.
Book a measuring appointment → or call 800-883-1549.
