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We had many distinguished visitors, but what you do makes more of a difference than all the efforts of those other people combined!
Col. Thomas M. Rice USAF
859th D&T Squadron, Lackland AFB, TX

 

 
Individual Adaptive Clothing Request
 
First Name: Last Name:
Address 1:
Address 2:
City:
State:
Zip:
Phone: --
E-Mail Address:
(contact for questions)
Hospital Location
(if applicable):
Branch of Service:
Indicate Clothing Needs:  
You may select as many types and quantities that you need.
See the Adaptive Clothing page for descriptions and pictures of the clothing. 
SHIRTS
Sizing: Small 34" - 38" Medium 38" - 42" Large 42" - 46" X-Large 46" - 50" XX-Large 50" - 54"
Shirt Adaptations - indicate for all shirt orders:
Adaptation on: Right Left Double
Size:
Type:
(solid, sport team, etc.)
T-Shirt:
Torso adaption
(sides only)
Qty:
Shoulder Adaption
(shoulder and sides)
Qty:
Long Sleeve T-Shirt:
Torso adaption
(sides only)
Qty:
Shoulder Adaption
(shoulder and sides)
Qty:
Polo Shirt:
Torso adaption
(sides only)
Qty:
Sweat Shirt:
Torso adaption
(sides only)
Qty:
Shoulder Adaption
(shoulder and sides)
Qty:
Button down shirt:
(velcro closure w/buttons in place)
Button down shirt: Qty:
Halo shirt: Qty:
Special Shirt Requests (indicate neck and arm measurements if ordering Button down shirts):
PANTS
sizes are: small 28" - 31.5" Medium 32" - 35.5" Large 36" - 39.5" XLarge 40" - 43.5" XXLarge 44"- 47.5" each pant has waist and inseam listed on the size tags
Pants Adaptations - indicate for all pants orders:
Adaptation on: Right Left Double
Size:
Type: Casual Dress Lounge
Color preference:
Fixator: Qty:
FLAP: Qty:
Wheelchair Pant: Qty:
Sweat Pant: Qty:
SHORTS & UNDERGARMENTS
Shorts Adaptations – indicate for all shorts and undergarments orders:
Adaptation on: Right Left Double
Size:
Color preference:
Athletic Shorts: Qty:
Casual Dress: Qty:
Swim Suits: Qty:
Boxers: Qty:
Female Undergarments: Qty:
Additional Information:
(Other information we should know so we can complete request for you)
COMFORT ACCESSORIES
Bedrail Organizer: Qty:
Transport Bag: Qty:
Personal Pillow: Qty:
Lap Robe: Qty:
Sew Much Comfort does not share any information with anyone. All your information is kept confidential.
 
 
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