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 Professional – MD, 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 firstname.lastname@example.org OR fax them to 603-621-0789.