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2023
Juno B4
490E751_AS01_Base Price 4175.00Power wheelchair [product name]
Max. Load: 160 kg (standard equipment)
Valid from 01.01.23 to 31.12.23
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Download the ottobock-juvo-b4-powerchair-order-formpdf from the official website or request it from the supplier.
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Provide information about the specific ottobock-juvo-b4 powerchair model you are ordering including color, size, and any additional features.
04
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05
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What is ottobock-juvo-b4-powerchair-order-formpdf?
The ottobock-juvo-b4-powerchair-order-formpdf is a document used to place an order for the Ottobock Juvo B4 power wheelchair, detailing specifications and requirements for the purchaser.
Who is required to file ottobock-juvo-b4-powerchair-order-formpdf?
Healthcare providers, therapists, or authorized representatives of patients who require the Juvo B4 power wheelchair must file this form.
How to fill out ottobock-juvo-b4-powerchair-order-formpdf?
To fill out the form, you should provide patient information, specify the wheelchair's configuration and features, and include necessary signatures and dates.
What is the purpose of ottobock-juvo-b4-powerchair-order-formpdf?
The purpose of the form is to facilitate the ordering process for the Juvo B4 power wheelchair and ensure that all necessary information is captured for processing.
What information must be reported on ottobock-juvo-b4-powerchair-order-formpdf?
The form must include the patient's details, wheelchair specifications, ordering provider's information, and authorization signatures.
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