The documents below are required for continuing the iBOT® journey. Please feel free to call us at 1-833-346-4268.

Form Name (Click to access) Responsible Party Action to Take
Customer Intake Form Prospective iBOT® User OR Authorized Representative Fill in and Sign.
iBOT® Customer Handbook Prospective iBOT® User OR Authorized Representative Review.
iBOT® Prescription Template Medical Professional – Doctor Bring to your physician for completion and signature.
iBOT® Patient Assessment Form Medical ProfessionalMD, PT, or OT Bring to your physician or therapist for completion and signature.
iBOT® Assistant Assessment Form Assistant(s) Optional. To be reviewed with any assistant(s) prior to assisted stair climbing.

Please email all forms to our secure inbox at clinical@mobiusmobility.com OR fax them to 603-621-0789.