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Slingshot Bionics Socket
Personal Information
Name
*
First
Last
Email
*
Phone
*
Company Name (optional)
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
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Belgium
Belize
Benin
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Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
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Chad
Chile
China
Christmas Island
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Colombia
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Congo, Democratic Republic of the
Cook Islands
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Côte d'Ivoire
Croatia
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Cyprus
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India
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Isle of Man
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Italy
Jamaica
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Korea, Republic of
Kuwait
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Mali
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Mongolia
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Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
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Norway
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Panama
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Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
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Samoa
San Marino
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Saudi Arabia
Senegal
Serbia
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Singapore
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Slovakia
Slovenia
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Somalia
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South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
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Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
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Togo
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Turks and Caicos Islands
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Uganda
Ukraine
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Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Fitting Choice
*
Slingshot Clinic - with insurance
Slingshot Clinic - Without Insurance (Or Tele-Health)
Local Prosthetist
I am a practitioner ordering for my patient
Fitting Date
Customized Clinical Care
Apply $1,500 Customized Clinical Care
Limb Measurements Available
Yes
Not yet
Limb Measurement
Gender
*
Male
Female
Date of Birth
*
Side of Amputation
*
Left
Right
Both
Cause of Amputation
*
Health
Accident/Trauma
Congenital
Do you have a prescription ready to upload?
*
Yes, I have it ready
No, I will email one later
Upload Prescription
Max. file size: 128 MB.
Proximal Circumference (cm)
*
Distal Circumference (cm)
*
Legth (cm)
*
Weight in Kilograms
*
Activity Level
*
Function Level 1: Ability to transfer on my own.
Function Level 2: Ability to walk at a single speed.
Function Level 3: Ability to walk at varied speeds.
Function Level 4: Ability to exceed basic ambulation.
Limb’s Condition
*
My limb skin is healthy.
I have open sores on my limb.
Additional Information
List any health and limb health considerations we should know about.
Product
Product Type
*
AK
BK
Select Socket Configuration
*
Slingshot Fission™
Slingshot Fusion™
Slingshot Sling™
Wearing a Gel or Silicon Liner?
*
Yes, I will be wearing a liner
No, sock-fit only
Fission ™ Suspension & Accessories
Apex™ (+$125)
Core-Insert™ (+$125)
Conventional Pin Lock (+$125)
Grip Lock™ (+$125)
Slingshot Dials (+$75)
Distal Mount ($0)
Fusion™ Suspension & Accessories
Apex™ (+$125)
Core-Insert™ (+$125)
Grip Lock™ (+$125)
Slingshot Dials (+$75)
I'll use my existing suspension
Sling™ Suspension & Accessories
Apex™ (+$125)
Grip Lock™ (+$125)
Slingshot Dials (+$75)
I'll use my existing suspension
Suspension & Accessories
Apex (+125)
Grip Lock™ (+125)
Slingshot Dials (+$75)
I'll use my existing suspension
What type of suspension does your existing socket use?
*
Conventional Pin Lock
Lanyard
Suction/Vacuum
Other
Specify your suspension
*
Distal Mount Option
*
Female Pyramid
Male Pyramid
Thread Insert
Distal Mount Option
*
Female Pyramid
Male Pyramid
Thread Insert
Add Liners (Optional)
1 Liner ($500)
2 Liners ($1,000)
3 Liners ($1,500)
4 Liners ($2,000)
Base
*
Aluminum Exoskeleton
Carbon Fiber Exoskeleton (+$1000)
Base
*
I'll use my existing socket
Carbon Fiber Exoskeleton (+$1000)
Exoskeleton Color
*
Blue–Jay (+$200)
Panther (+$200)
Koala
Sock-et™ Color
*
Arctic Fox
Panther
Containment Strap Color
*
Arctic Fox
Blue–Jay
Koala
Black
Fission™ Socket
Price:
Fusion™ Socket
Price:
Sling™ Socket
Price:
Apex™ Suspension
Price:
Grip Lock™ Suspension
Price:
Slingshot Dials Suspension
Price:
Core-Insert Suspension
Price:
Conventional Suspension
Price:
Liner 1
Price:
Liners 2
Price:
Liners 3
Price:
Liners 3
Price:
Liner 4
Price:
Liner 4
Price:
Exoskeleton: Panther
Price:
Carbon Fiber Exoskeleton
Price:
Customized Clinical Care
Price:
Exoskeleton: Blue-Jay
Price:
Containment Strap
Price:
Name: Additional Product #1
Cost: Additional Product #1
Name: Additional Product #2
Cost: Additional Product #2
Name: Additional Product #3
Cost: Additional Product #3
Total
Slingshot Bionics Socket quantity
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