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Custom Bracing Forms

We now have a new option for ordering a custom Defiance:

1. NEW: Online Form (Note: This form works with AOP or FSN files or CCMI measurements)


2. PDF/Paper form:

 

Step 1: Click the link below to download a custom bracing order form for the Defiance brace.

Download Defiance Order Form – Using NEW Mark III Measuring Device

Download Defiance Order Form – Using Mark II Measuring Device

Please note: This document is in PDF format. You must have an Adobe Acrobat Reader installed to view this file. If you do not have the Adobe Acrobat Reader, click here to download one for free.

Step 2: Print the form and fill it out.

Step 3: Fax the completed form to 1-800-936-6569.

 
 
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