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Important documents

Doctor’s prescription (Sample prescription provided as an example)


The prescription must include the following information:

◉ Diagnosis
◉ Rental period
◉ “Mobi-Roll knee scooter”
◉ German medical aid number 22.50.02.0002
◉ Doctor’s stamp and signature

The following additional information on the prescription is very helpful:

A note from the doctor explaining why forearm crutches cannot be used or can only be used to a limited extent, for example due to:

◉ Wrist problems
◉ Shoulder problems
◉ Pain
◉ Balance problems

Confirmation of receipt/handover form



Important billing documents

The box contains your Mobi-Roll and a red envelope with the following documents:

◉ Copy of the invoice
◉ Return label
◉ Confirmation of receipt/handover form

Please send the following complete documents by post to our billing partner:

◉ Original prescription
◉ Copy of the invoice
◉ Completed confirmation of receipt/handover form

If you have lost the confirmation of receipt/handover form, you can download it here and complete it again.

Postal address:

REHA PARTNER THOMAS GmbH
Schulstr. 17
47199 Duisburg
Germany