Account/Credit Application

Please complete the form below. 

After submitting the application form you will immediately receive a confirmation email including a copy of your information entered on the form. We will respond via fax or email within one to two business days whenever possible. If you have questions, please contact us at 800 665 3327 or CAAccountsReceivable@ottobock.com.

French: Please send the completed application along with any sales tax exemption certificates to our Finance/Credit Department by email to CAAccountsReceivable@ottobock.com or fax to 289 288 4836. We will respond via fax or email within one to two business days whenever possible. If you have questions, please contact us at 800 665 3327.

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Technical Orthopedics Sales and Distribution Statement

Otto Bock HealthCare’s U.S. Technical Orthopedic business sells solely to Prosthetic and Orthotic facilities who employ certified and/or licensed prosthetists and orthotists who fit the device(s) to the patient/user.

In addition, there may exist product specific conditions where specialized training is required in order for a certified and/or licensed prosthetist or orthotist to become qualified to purchase, and consequently to custom fit, the product to the patient/user. 

Otto Bock sells its products only to those that are directly involved in clinical assessment and fitting of the product(s) to the patient/user, with the exception of Prosthetic and Orthotic schools.  There is no transfer of Otto Bock HealthCare’s limited warranty for any products that have been resold or redistributed.