See below to view and download our order forms

Page 1- Patient information/demographics page

This form must be submitted with every order

Click on form to print/ download

Head Measurement Form

This form is best suited when ordering a garment including the head such as face masks, chin straps, head/neck bands and watusi collars

Click on form to print/ download

Upper extremity Measurement Form

This form is best suited when ordering a garment including the upper torso such as vests and body suits

Click on form to print/ download

Lower Extremity Measurement Form

This form is best suited when ordering a garment including the lower torso, legs and feet such as leotards, panty girdles, panty briefs, knee/thigh lengths, anklets and foot gloves

Click on form to print/ download

Arms and Hands Measurement Form

This form is best suited when ordering a garment including the arms and hands such as arm sleeves, gloves and gauntlets

Hand outlines are needed with every glove order

Click on form to print/ download

Hand Outline Tracing Form

Must be included with every new hand garment order

Click on form to print/ download

Silicone order forms below

These charts are to only be used to provide silon lining placement ordered for each garment.

To Use: Click on the silhouette that cooresponds to the garment being ordered. For example, if ordering silicone lining for a left glove, click and print the left hand. Shade in the requested placement of the silon lining. Please also include the length and width of the silon lining being ordered in inches. Faliure to follow provide dimensions can cause delays in manufacturing.

Full Body Silhouette-Anterior/Posterior

Please include this form when ordering silon lining placement of vests and body suits .

Full Body Silhouette-Medial/ Lateral Arms

Please include this form when ordering silon lining placement of vests and body suits .

Medial/ Lateral Arms-Left Arm                  

Please include this form when ordering silon lining placement of armsleeves, forearm sleeves and elbow bands . Left arm only

Forefoot/Hindfoot                                 

Please include this form when ordering silon lining placement of knee/thigh lengths, anklets and footgloves.

Left/Right-Cranial/Face                        

Please include this form when ordering silon lining placement of knee/thigh lengths, anklets and footgloves.

Full Body Silhouette-Lateral/Medial Flank

Please include this form when ordering silon lining placement of vests and body suits .

Left Hand-Dorsal/ Palmer                        

Please include this form when ordering silon lining placement of gloves, gauntlets and finger sleeves. Left hand only

Medial/ Lateral Arms-Right Arm             

Please include this form when ordering silon lining placement of armsleeves, forearm sleeves and elbow bands . Right arm only

Left/Right-Calf/ Ankle                           

Please include this form when ordering silon lining placement of knee/thigh lengths, anklets and footgloves.

Dorsum Foot                                            

Please include this form when ordering silon lining placement of knee/thigh lengths, anklets and footgloves.

Full Body Silhouette- Lateral/Medial

Please include this form when ordering silon lining placement of vests and body suits .

Right Hand-Dorsal/ Palmer                        

Please include this form when ordering silon lining placement of gloves, gauntlets and finger sleeves. Right hand only

Medial/ Lateral Feet                              

Please include this form when ordering silon lining placement of knee/thigh lengths, anklets and footgloves.

Left/Right-Cranial/Ear                             

Please include this form when ordering silon lining placement of knee/thigh lengths, anklets and footgloves.

 Ready to Submit an order?

  • Once the order forms have been filled out , you can submit the order, along with any additional information we may need, to us by:

    • Scan the completed order forms and supporting documents and email them over to our customer service team at bc@bartoncarey.com.

    • Fax the completed order forms and supporting documents over to us at (419) 887-1286

    Have any questions? Please feel free to call us at (800) 421-0444 (Toll free)