The methods and apparatus of the present invention provide advantages for remote laser delivery systems that conduct high levels of light energy through a fiber optic cable to a target surface. Helical fiber optic mode scramblers in accordance with the present invention are an integral portion of a fiber optic cable having a spiral curvature predetermined to advantageously influence the intermodal dispersion characteristics of the fiber optic cable. Various embodiments of helical fiber optic mode scramblers in accordance with the present invention enable delivery of light energy at rates that can exceed continuous deliver of 30 Joules per millimeter squared of cross sectional area of a fiber optics cable. Particular embodiments of a fiber optic mode scrambler in accordance with the present invention include a support structure and a cylindrical sleeve that provide limited longitudinal flexibility maximizing the range of positions in which the fiber optics cable can be dynamically arranged.