New Printing Request

If you have a need for printed parts. Please populate the below fields

Contact Information*

Provide first and last name of the key contact for this request

Requestor Email*

Provide the email of the key contact

Hospital Name*

Please specify the name of the hospital

Hospital Address*

Please specify the address of the hospital

Hospital Country*

Please specify the country of the hospital

Hospital Phone Number*

Please specify the phone number of the hospital

Requestor Region*

Where is the Help Request / Printing Request going to be developed?

Select or enter value

Request Title*

Please provide a part/design/request title

Request Description*

Provide an overview of what is being requested

Application Type*

What application is this request related to

Select or enter value

Parts Quantity*

Please provide an estimate of parts needed per application

Priority*

Please help us understand the urgency of this request (impact, timing needed)

Attach files here

If available, attach a picture or mock-up of the part you want 3D designed and/or printed

Drag and drop files here or

Information collected in this form will be used for the sole purpose of identifying or developing 3D print applications. Please read the HP Privacy Statement (https://www8.hp.com/us/en/privacy/privacy-central.html) to find out how data retention tools help us personalize your experience with HP. All the Applications validated will be provided openly and for free.

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