Incontinence swimwear - Suprima GmbH

suprima GmbH
Postfach 12 20
95457 Bad Berneck
Phone + 49 (0) 92 73 - 92 04 - 0
Fax + 49 (0) 92 73 - 92 04 - 55
info@suprima-gmbh.de
www.suprima-gmbh.de
Enter measurements in cm!
Measure the relaxed body
directly on the skin. (T-shirt
and briefs do not disturb.)
Delivery time: about 3 – 4
weeks
3
2
4
navel
1
e
a
b
c
d
Fax - order forms | Fax: +49 (0) 92 73 - 92 04 - 55
swim wear:
special design
patient’s name
age sex
measured by Mr/Mrs
date, signature
Guarantee of fit
Item & color
Fax - order: + 49 (0) 92 73 - 92 04 - 55
1 519 fashionable swimsuit
1 520 sporty swimsuit
1 521 swim trunks
1 522 swim trunks KIDS
1 523 swimsuit KIDS
customer ID
address of company
Complaints about the fit (custom-made) have to be raised within 14 days after delivery. Later
reclamations about the fit cannot be admitted. We are not liable for wrong measurements and
color specifications or double orders (fax transmission).
phone
Order Cost estimate
Measurements for protection briefs in swim trunks and swimsuits
1 rise (crotch to waist):
front cm back
2 waist measurement
3 bottom / hip measurement
4 thigh measurement
Particulars for stoma wearers
1. from the wearer’s view the bag is
2. measurements of the stoma bag:
a. bag height
b. bag width
c. distance waist to the lower
end of locking ring
d. distance waist to end of bag
e. distance navel to middle of bag
(horizontal)
black bordeaux
black bordeaux lightblue
black
blue
light blue
cm
cm
cm
cm
right left
cm
cm
cm
cm
cm