Foundry Idea Submission
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Idea/Project Name
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Location
Please Select
ORMC
Dr. Phillips Hospital
Winnie Palmer Hospital
Arnold Palmer Hospital
Heart & Vascular Institute
Cancer Institute
South Lake Hospital
St. Cloud Hospital
South Seminole Hospital
Bayfront Health
Health Central Hospital
Horizon West
Corporate
Freestanding ED
Other
Your Department Name
Description of Your Idea
*
What pain points or problem is your idea solving?
*
Is your idea a new product or a change to an existing product?
Please Select
New Idea
Change to existing product
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