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About
Socket Information
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Personal Information
Name
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First
Last
Email
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Phone Number
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Zip Code
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Which best describes you?
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Select One
Above Knee or Knee Disarticulation Amputee
Below Knee or Symes Amputee
Above Elbow or Below Elbow Amputee
Hip Disarticulation or Hemipelvectomy Amputee
Shoulder Disarticulation or Forequarter Amputee
I am a Prosthetist
I am a Family Member of an Amputee
Other
About Your Socket
Your world is about to get a whole lot more comfortable! Help us get to know you, so we know how to best serve you.
How old is your current socket?
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< 6 Months
6 Months - 2 Years
2 Years
I am a new amputee or don’t have a socket
What issues do you have with your current socket?
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Pain or Discomfort
Restricted Range of Motion
Skin Breakdown or Blisters
Worn or Broken
Difficulty Managing Fit
Uncomfortable While Sitting
Weight Loss or Gain
Pistoning or Lack of Suspension
Instability
Excess Heat and Sweat
None / No Socket
Cause of Amputation
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See Options
Trauma
Vascular/Diabetes
Congenital
Cancer
Other
Your Comfort
We’ve found that if someone can be fit in a conventional socket, they should be able to be fit in a Slingshot Socket, typically with a lot more comfort.
Which Slingshot Socket qualities are you most interested in experiencing?
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I want a cooler and more breathable socket
I want more comfort and conformity
I want unrestricted range of motion
I want a self-adjustable socket
I want to regain my quality of life
I want better sitting comfort
What do you hope to be able to do now with a more comfortable socket?
Fitting Options
We are excited for you to experience the most comfortable socket you’ve ever worn. Select which fitting option you’d prefer. Preferred fitting method can be changed at any time.
Option 1: I’m interested in possibly coming to a Slingshot Clinic
Option 1: I’m interested in possibly coming to a Slingshot Clinic
We have more experience in fitting Slingshot Sockets™ than anyone – and we know how to maximize your comfort. Most fittings are completed in a single appointment or single day.
Option 2: Send me to a Prosthetist that is already trained and experienced in fitting the Slingshot Socket.
Option 2: Send me to a Prosthetist that is already trained and experienced in fitting the Slingshot Socket.
We have trained hundreds of Prosthetists across the country, and can connect you with one that is already trained and experienced in fitting the Slingshot Socket™.
Option 3: Get my local Prosthetist trained.
Option 3: Get my local Prosthetist trained.
Not all Prosthetists are progressive with new technology, but if yours is, we’d love to get them trained and support your fitting.
Option 4: I just have questions, or not sure yet which path is best for me.
Option 4: I just have questions, or not sure yet which path is best for me.
Our Slingshot Experts are ready to answer all of your questions.
Would you like us to check your prosthetic coverage now?
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Yes, check my insurance now
No thanks, I just have questions
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