Clinical network

New Patient Referrals

We’re thrilled to begin referring amputee leads to you, and help you grow your business!



Amputees engage through our website and select that they want a local Prosthetists to fit the Slingshot Socket™.



Slingshot Bionics makes Referrals to our Network of Trained Prosthetists.



Fit the Referral with a Slingshot Socket™…Repeat and get more Referrals.

"*" indicates required fields

Name*

Email*

Mobile Phone*

Office Phone*

ABC/BOC #:*

Clinic Name*

Office Address*

Street Office Address City State Zip Cpde

What insurance carriers do you accept.*

Check as many as needed.

Have you reviewed our training videos yet?*

Yes, I've reviewed them

Not yet, but I will soon

Specify other