General Needs Assessment
Didn't see what your organization needs on our open-source designs page? Let us know what your needs are. (P.S. We might already be working on it, so check back frequently!)
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What PPE or related items does your organization need? (Write only one. Please fill out and submit the form again for subsequent needs!) *
How many of the above item does your organization need?
Important Project/Process Details
Depending on the results of this needs assessment, our team might pick up a project you requested. We only design solutions with feedback from medical staff. These designs will be shared, open source, with fabricators who will make the call on producing the product for a price. We are not producing the end product.
Please provide the name of a medical staff member who can provide design feedback and testing.
Please provide this person's email address.
Organization Name *
Where are you located? (If in the US, please enter the State. If outside the US, please enter the country.) *
Would you like to be contacted if this item becomes available through one of our manufacturers?
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If yes, please provide an email address.
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