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Custom Splint Request Form
Complete a separate Form for each new splint.
All requests pend approval and will include a quote and timeframe for completion. The information provided is essential in getting a great fitting splint. We may contact you with additional questions for clarity. Custom Splints include a nonrefundable design fee of $39 in addition to the Custom Splint quote price. Approved designs considered extreme or intricate may incur a higher design fee. Custom splints are available in our Sterling Silver only. If your request is approved, an electronic invoice for the design fee will be sent to the email address on file, and must be paid before we can begin processing the order.
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In case there are additional questions we can't resolve with email
Task(s) That Bring On Symptoms
This is for sizing purposes only
Check all digits you would like included in the splint design. If you need to splint both the index and middle fingers at the same time, check both boxes.
Do You Consider Your Hands To Be
More Slender Than Average
Smaller Than Average
Larger Than Average
Enter any additional details for your custom splint inquiry.
By checking this box you understand that it is recommended that you seek medical advice before splinting, and that we at RingSplints.com are not medical professionals.
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