Invacare LEO Scooter

Invacare eForms For additional information, visit www.invacare.com/eForms Customer Service: 800-333-6900 Fax: 800-678-4682 www.invacare.com To order Literature: 800-828-6282 Invacare eForms offer new functionality! Invacare is pleased to offer you an upgraded solution to your ordering process. Our enhanced order forms allow you to fill out a form electronically, print and fax the form, save and email* it to Customer Service, or maintain the business practices that work for you today. The format has been revised to reveal a cleaner look with electronic selection and input functions. *Saving and emailing the eForms is available with Acrobat Professional software If you are using Adobe Acrobat Professional If you are using Adobe Reader • View and download all forms • View and download all forms • Save blank versions of the forms to your desktop • Save blank AND completed versions of the forms to maintain electronic records • Complete forms electronically • Print blank or completed forms • Complete forms electronically • Fax completed forms to Customer Service • Print blank or completed forms • Fax completed forms to Customer Service • Email completed forms to Customer Service by using the 'Email' button at the end of the form. Please note: The 'Email' button at the end of the form will not work with Adobe Reader. The 'Email' button will only work while using Adobe Acrobat Professional. For information on downloading Adobe Reader for free, or puchasing Adobe Acrobat Professional, please visit www.adobe.com. NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Page 1 of 2 Invacare® Leo™ Scooters Price List and Order Form www.invacare.com Customer Service: 800-333-6900 Fax: 800-678-4682 To order literature: 800-828-6282 TRANSACTION TYPE: Order Date Quote Account # P.O. # Company Name Phone # Address State 0 City Contact Name Country Zip Code Comments Special Note HCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes when submitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific situations in further detail. Leo Specifications - Specifications are approximate INVACARE LEO SCOOTERS The below models include base, seat, batteries, and lap belt. Leo 3-Wheel Leo 4-Wheel LEO-4S Silver 4-Wheel Mid-size .............................. $2,495.00 K0807 Base Length 47" 48" LEO-4B Blue 4-Wheel Mid-size ................................ $2,495.00 K0807 Base Width 23" 23.5" Ground Clearance 2.4" 2.5" Seat Width 19" 19" Seat Depth 16" 16" Back Height Seat to Floorboard Range 18" 16.5" - 19.5" 18" 16.5" - 19.5" Arm Width Range 18" - 22" 18" - 22" Weight Limit 350 lbs. 350 lbs. Speed Range 0 - 5 mph 0 - 5 mph Incline Capability 6° grade 8° grade Travel Range Est. 19 miles Est. 15 miles Tires Turning Radius 10" x 2" 47" 10" x 2" 52" Front Base Section N/A 60 lbs. Rear Base Section N/A 42 lbs. Batteries 25 lbs. each 25 lbs. each LEO-3S Silver 3-Wheel Mid-size .............................. $2,395.00 LEO-3B Blue 3-Wheel Mid-size ................................ $2,395.00 LEO SCOOTER OPTIONS AND ACCESSORIES Options and Accessories are for Leo Scooters only. Off-chair discounts apply to the selections below. ACC140 Safety Flag ........................................................ $25.00 Only one of these accessories can be used at a time. ACC200 Crutch and Cane Holder ................................... $80.00 E2207 Only one of these accessories can be used at a time. ACC210 Walker Holder .................................................. $80.00 Only one of these accessories can be used at a time. ACC220 Oxygen Holder ................................................. $80.00 E2208 Only one of these accessories can be used at a time. Weight ACC230 Rear Basket ....................................................... $80.00 Rear Basket dimensions are 18" L x 13" W x 8" H. Only one of these accessories can be used at a time. ACC250 Rear View Mirror ............................................. $25.00 ACC260 Lockable Front Box, Silver ............................. $125.00 Front Box dimensions are 17" L x 9" W x 11.5" H. ACC270 Lockable Front Box, Blue ................................ $125.00 Seat 32 lbs. 32 lbs. Total Weight 174 lbs. 184 lbs. Front Box dimensions are 17" L x 9" W x 11.5" H. Warranty 36AH-2 36 Amp Hr Batteries (pair) ............................ $232.00 Frame, Electronics, Transaxle 1 year limited 1 year limited Batteries 6 months 6 months The Invacare Corp. Leo Scooter is not intended for highway or street use. Print Form Email Form Clear Form NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Invacare Corporation USA One Invacare Way Elyria, OH USA 44035-4190 800-333-6900 Revised October 31, 2011 www.invacare.com ©2013 Invacare Corporation All rights reserved. Trademarks are identified by the symbols™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. Form No. 10-028
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