Hospital Adaptive Clothing Request

We do our best to fulfill your order as listed from available stock on hand. Substitutions may be sent.
Hospital Name
Attention
Shipping Address
Shipping Address 2:
Shipping Address 3:
CityStateZipcode
Phone (required):Email (required):

Shorts / Pants

Elastic waist & snap closureSmallMediumLargeXlargeXXLarge
Fits Waist Sizes:28"- 31.5"32"- 35.5"36"- 39.5"40"- 43.5"44"- 47.5"
 Adaptation
BoxersLeft
BoxersRight
BoxersDouble
Athletic ShortsDouble
Lounge PantLeft
Lounge PantRight
Lounge PantDouble
FixatorLeft
FixatorRight
FixatorDouble
Swim TrunksLeft
Swim TrunksRight
Swim TrunksDouble

Shirts

 SmallMediumLargeXlargeXXLarge
Fits Chest Sizes:34"- 37.5"38"- 41.5"42"- 45.5"46"- 49.5"50"- 53.5"
 Adaptation
T-shirt - TorsoLeft
T-shirt - TorsoRight
T-shirt - TorsoDouble
Long Sleeve Shirt- TorsoLeft
Long Sleeve Shirt- TorsoRight
Long Sleeve Shirt- TorsoDouble
Polo Shirt - TorsoLeft
Polo Shirt - TorsoRight
Polo Shirt - TorsoDouble
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