3D Printed Medical Equipment Request Form (Face Shields, Masks, Ventilators, etc)
IC3D is a 3D printing company that is working to support the medical industry PPE and other equipment during this time of the COVID-19 pandemic.  There are currently numerous designs out there for various 3D printed items each with different levels of risk.  We are currently focusing on FACE SHIELDS while monitoring MASKS and other items as more analysis is being done to ensure safety.

If you are a healthcare or first-responder organization in need of PPE to protect against the COVID-19 pandemic or other items, please fill out the contact form below and IC3D will contact you.
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Email *
First Name *
Last Name *
Email *
Organization *
Address *
City *
State *
Country *
Phone Number *
What items are needed by your organization? *
Required
How many of each of the above items are requested? *
Optional Message
** DISCLAIMER: IC3D is not a traditional provider of medical equipment but is offering its services to help address the shortage of needed equipment during the COVID-19 pandemic. Therefore, IC3D is relying on end users for design guidance and advises that it is ultimately the responsibility of end users to assess whether a 3D printed item is suitable for a particular use or in a particular set of conditions. UNLESS OTHERWISE STATED OR AGREED, IC3D DOES NOT WARRANT THE FITNESS OF 3D PRINTED PPE OR MEDICAL EQUIPMENT FOR ANY PARTICULAR PURPOSE. **
A copy of your responses will be emailed to the address you provided.
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