For Home Patients or
Please note that we currently do not sell MIRA directly to patients or caretakers.
In order to use MIRA in a home setting, we need a refferal from a therapist or clinician.
So, please fill in the following form with your details and optionally, with the details of the therapist or
clinician that the patient is seeing.
We will then write to you soon with all the necessary details to use MIRA in a home setting.