SLEEQ™ Wash Care - Thuasne USA

Enter Account Number

Please note that account numbers follow this basic pattern: KABC10001

Helpful hint! If you only have a partial account number, an old 6 digit account number, or are unsure about which location you need, search for the following: K + old account number (e.g. ABC100) + 00. This will select the payer account, and give you a list of locations. From there, you can select the right location.

Sorry. You must be logged in to view this form.

KAFO Inservice Request Form

"*" indicates required fields

Company

This field is for validation purposes and should be left unchanged.

Your Name*

First Last

Email*

Facility Name

Zip Code*

Phone*

Select One*

Medical Professional

Distributor

Inservice Request Form

"*" indicates required fields

Facebook

This field is for validation purposes and should be left unchanged.

Your Name*

First Last

Email*

Facility Name

Zip Code*

Phone*

Select One*

Medical Professional

Distributor

KAFO Casting Instructions

AFO Casting Instructions

KO Casting Instructions

Custom Brace

Your brace measurements fall in the custom range. If there may have been an error in your measurements, please try entering them again. If they are correct, please refer to the custom order form for further instructions.