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Your Order Summary
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Complete Order Details
Company:
Address:
Patient Name:
Patient Number:
Date of Birth:
Size:
Left:
Right:
Width (mm):
Left:
Right:
Extra cushion:
None
Black 3mm
Extra elevation:
Sandal has a default heel height of 6mm on both sides.
Left:
Right:
Extra heel lift (mm):
Left:
Right:
Notes:
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