AMPUSHIELD® TRANSHUMERAL LIMB PROTECTOR

  • Please do not print the Review page.

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

  • Access Legacy PDF work order. Legacy form will be accepted until Mar 4th. 

  • AMPUSHIELD® TRANSHUMERAL LIMB PROTECTOR

    Intake Information
    • Patient Information: 

    • Submission Type:

      • Physical Device

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

    • {requestedInoffice}{requestedInoffice1775}{requestedInoffice1776}{requestedInoffice1777}

    • Requested In-Office Date: 
    • Image-1780

    • Clinicians can still coordinate special in-office requests by emailing:
      HFN_Hypercare@hanger.com

  • AMPUSHIELD® TRANSHUMERAL LIMB PROTECTOR

    Configurator
    • Measurements: 
      • Small - Not Available
    • Image-1739
    • Image-1747
    • Image-1769
      • Adjust to patientʼs length with distal pad as needed.
      • Device will be shipped with 2" distal end pad that is split in half.
    • Device: 

  • AMPUSHIELD® TRANSHUMERAL LIMB PROTECTOR

    Configurator
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