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Tell my prosthetist

For patients

Would you like to try Your® Liner? Tell us who your prosthetist is.

A Your® Liner is always prescribed and fitted by a prosthetist. If yours does not work with us yet, we will get in touch with them for you.

  • Free, and without commitment.
  • We send your prosthetist the product and ordering information.
  • Your prosthetist decides with you whether Your® Liner suits your limb.
  • No account to create.
A prosthetist kneels beside a patient on a treatment bench and checks the fit of her patterned liner at the back of the knee.
About you
Your prosthetist

Please do not include medical details — your prosthetist will discuss those with you.

* = required field

Questions

Does this cost anything?

No. Telling us about your prosthetist is free. The liner itself is prescribed and ordered by your prosthetist.

Does my prosthetist have to order?

No. We give them the information; whether Your® Liner is right for you is a decision you make together.

My clinic has never heard of MotionTech.

That is exactly what this form is for: we introduce Your® Liner to them and send them the ordering information.

What happens to my details?

They are used only to contact the clinic you named and to reply to you.