Forearm Crutches Ergonomic Armcuffs FEATURES • Now available in 3 different sizes • Each size is available in 3 different colors • Height adjustable in 1” increments • Separately Adjustable cuff height • Full style, composite cuffs Smooth Hand Grips fo

ORDER FORM FAX TO 310-305-1718 OR SUBMIT ONLINE EMAIL FORM CLEAR FORM Dealer: Date: Phone: Account #: Ordered By: E-mail: _ BASE UNIT Product Size Weight Capacity User Height Floor-to-Grip Height Grip-to-Top of Cuff Cuff Diameter Cuff Style Product Weight HCPCS Code HCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes when submitting claims. Referenced HCPCS codes are also not guarantee of payment. Prices listed are subject to change without notice. © 2017 Inspired by Drive. All rights reserved....