Custom Breast Form Policy

A FITTING EXPERIENCE
MASTECTOMY SHOPPE, INC.
2950 North State Road 7 Suite 103
Margate, Florida 33063

(954) 978-8287
ABCOP Accredited Facility Accredited CFm Fitters
WWW.AFITTINGEXPERIENCE.COM

If you have experienced any type of breast surgery, such as a full mastectomy, partial mastectomy, lumpectomy, breast conserving surgery, or reconstruction, the ABC Custom Breast Prosthesis may be right for you!

Does your breast form shift and move, requiring you to adjust it throughout the day?
Do you seek a life-like alternative to surgical breast reconstruction?
Is your current breast form too hot?
Do you struggle to find a breast form that is lightweight and comfortable?

Thank you for allowing A Fitting Experience as your chosen provider for your new AMERICAN BREAST CARE Custom Breast Form.
We are excited to start the process of creating your prosthesis just for you with the most advanced technology available.

*Once we start the process of providing you your custom form, your order will be Final Sale no matter the method of payment. The process begins once you fill out your necessary paperwork.

A specific time is put aside for your customized fitting. It may take up to one hour to complete the fitting. Please be on time for your appointment. If you need to cancel, it is imperative that you call Angela (754) 666-4309 the day before your appointment. Our scheduling time is valuable and will be happy to reschedule you if necessary.

Your appointment is scheduled withCFmAngelaon:

Time:

Patient Signature(Required)

Date:

*Hourly $50.00 Fitting fee will apply if Custom Breast Form is returned and upon return authorization from A Fitting Experience and American Breast Care, Inc.

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