Ceiling Medallion for a Flush mount ceiling fan
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Find a ceiling medallion made of plastic or polyurethane that has the design that will work for you with the flush mount and you will be able to cut the medallion yourself. With wood ones you may need assistance.
call the manufacturer
Get the one piece polyurethane foam medallion. Take a picture and accurate measurement of your motor housing. Ask the staff where you buy the medallion if they can cut the opening wider. They would be able to cut it more accurately. Once you have it installed you can caulk any possible gaps.