TayCo BRACE Ti-100-1-L Medical XAB Brace Alternative User Guide
- June 1, 2024
- TayCo BRACE
Table of Contents
TayCo BRACE Ti-100-1-L Medical XAB Brace Alternative
EXTERNAL ANKLE BRACE for walking/jogging shoes and work boots
| SIZING CHART | Small | Medium | Large | X-Large |
|---|---|---|---|---|
| Men’s Shoe Size | 3 – 7 | 7.5 – 10 | 10.5 – 13 | 13.5 – 17 |
| Women’s Shoe Size | 4.5 – 8.5 | 9 – 11.5 | 12 – 14.5 | 15 – 18.5 |
| BRACE SIZE | PRODUCT NO. | SIDE | QTY | PRODUCT NO. |
| SIDE | QTY | |||
| --- | --- | --- | --- | --- |
| Small | Ti-100-1-L | Left | Ti-100-1-R | |
| Medium | Ti-100-2-L | Left | Ti-100-2-R | |
| Large | Ti-100-3-L | Left | Ti-100-3-R | |
| X-Large | Ti-100-4-L | Left | Ti-100-4-R |
NOTES
MUST DOCUMENT suggested code L-1971 for custom fitting by bending, molding, or trimming. I.E. Because every patient’s anatomy is unique, examples could be: “I bent the uprights to fit the patient’s calf.” OR “I molded the footplate to accommodate fitting the 5th metatarsal exostosis.”
CREDIT TERMS (Only needs to be completed once)
Standard terms are 30 days/$5,000.00. Higher credit limits are available upon
request to accounts in good credit and clinical standing (in terms of patient
care, quality and follow-up) subject to the discretion of TayCo Brace
management.
Delinquent accounts are subject to 1.5% monthly charge ($2.00 minimum). Credit
card prepayment terms will be automatically established for accounts
delinquent 45 days or more. Credit can be re-established when account becomes
current. Any account that is once again 45 days delinquent will be put on
credit card prepayment terms permanently.
I certify that all the information on this form is correct, that I fully
understand your credit terms, and agree to adhere to said terms in
consideration of credit extended. In the event it becomes necessary to collect
this account by means of third-party collection agency or attorney, I
authorize all costs of collection to be charged to this business account. I
also understand that there will be a $30.00 fee charged on all return checks.
I authorize TayCo Brace, Inc. to charge the credit card on file for invoices
that are not paid within 45 days. If payment is received by check, ACH or wire
before 45 days, the card on file will not be charged.
CREDIT CARD INFORMATION
TayCo Brace is dedicated to keeping personal information confidential and secure. TayCo Brace is PCI compliant. Being PCI compliant adds additional security measures to those already taken by TayCo Brace. In order to maintain this compliance please use the embedded click to pay now feature on our invoices or phone in credit card information to TayCo Brace at 574-968-0066.
CUSTOMER SUPPORT
Text or e-mail completed order forms to
[email protected]
Customer Service 574.968.0066 | Fax 574.245.8882