Refer a Patient

If you would like additional information, or if you would like to schedule an appointment, please contact us. In order to expedite appointment scheduling, you can submit your insurance information below.

Contact the Limb Salvage Clinic

Limb Salvage Clinic Phone: 210-358-7450 Fax: 210-702-6870

Patient Information

First Name *

Last Name *

Date of Birth *

Mobile Phone *

Email Address *

Address 1

Address 2

City

State or Province

Zip or Postal Code

Reason for Requesting Consultation *

Insurance Information

Primary Insurance Company

Primary Group #

Primary ID #