Practitioners Resources Measurements & Forms

Forms

The Bremer Group customer service team is committed to helping our clients with product and reimbursement assistance. The following forms are provided for convenience and represent the most commonly requested items. If you have any further questions or need other help regarding the VertAlign® Spinal Support System or the ComfAlign® Spinal Support, please call customer service at 800.428.2304.

vert_measure_thumb

VertAlign® Measurement Chart

View

VertAlign® Order Form

View
This chart provides measurements (in inches) for the VertAlign® System components including: male standard, female standard and female plus components. Remember, you may mix and match front and back shells for the best balance of fit and function.  
spacer
ComfAlign Measurements Chart ComfAlign® Measurement Chart

View		 ComfAlign Measurements Chart ComfAlign® Order Form

View
This chart provides measurements (in inches) for the ComfAlign® Spinal Support male and female product including circumference (largest measurement taken at the abdomen), front and back heights.  
spacer

Accessories Order Form

View

  
spacer
Custom Order

VertAlign® Custom Order Form

View

 New Account

New Account Form

View
The Bremer Group Company recommends that practitioners consider ordering a Custom VertAlign® back brace for patients with non-standard anatomy or with significant degrees of thoracic deformity. Simply complete this form and fax it to The Bremer Group customer service at 904.645.0990 or ship it with your cast or mold to the address provided on the form.
Become eligible to offer the VertAlign® System and/or ComfAlign® Spinal Supports. Simply complete this form and return it to your Bremer Group sales representative or via fax to The Bremer Group customer service at 904.645.0990.
Share |