Partner Submission Form | Children's Hospital Colorado

Company Name *

Company Address *

Full Name *

Email *

Phone *

Have you ever worked with Children's Hospital Colorado in the past? *

Yes

No

Who was your point of contact at Children's Colorado in the past? *

Please tell us about your company in terms of size, corporate structure, funding stage, market and technology focus *

Please tell us about your management team *

Please describe your company’s competitive landscape *

Please describe the product, service or other partnering opportunity that you would like to introduce to Children's Colorado *

Are you looking to *

Please discuss the traction that your product or service currently has in the market *

Please describe the value proposition for this product, service or partnering opportunity as it relates to Children’s Colorado *

Please describe why you believe this product, service or partnering opportunity would be a good strategic fit for Children's Colorado *

Are you currently engaging with any other hospitals or health systems? *

Yes

No

Which one(s)?

Attach additional information to support your idea (25MB max)

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