XOS Brace
  • Access Legacy PDF work order. Legacy form will be accepted until Nov 1st. 

  • Legacy form will no longer be accepted.

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  • Please do not print the Review page.

    Scroll to the bottom, hit Complete and then download the work order. 

  • XOS BRACE

    Intake Information
    • Patient Information: 
    • Submission Type:

      • Plaster Cast: Negative or Positive

        Please include a printed Work Order with the cast when shipping.
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    • Daily HFN Capacity

    • {requestedInoffice}{requestedInoffice1217}{requestedInoffice1247}{requestedInoffice1248}

    • Requested In-Office Date: 
    • Image-1256
    • Clinicians can still coordinate special in-office requests by emailing:
      HFN_Hypercare@hanger.com

  • XOS BRACE

    Configurator
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    • Tuning 
    • Casting block Height and Toe Ramp Angle measurements are recommended.
      If Heel Wedging alone is required, please proceed to the Materials/Design Section.

    • Foot on Casting block
    • Final Ankle Position (Ankle Angle):

    • Set the Ankle in   *   ° of      *       

    • Image-874
    • Measurements: 
    • Patient Measurements
    • Materials/Design: 
    • Strut is provided with the kit.
      Complete this section only if the design deviates from kit.

  • XOS BRACE

    Notes
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