Emergent Medical Partners - For Entrepreneurs

If you have an idea or a device and are interested in a possible investment by Emergent Medical Partners, we would like to meet with you.

In order to facilitate a better conversation, please the following documents:

- Executive summary
- Resumes of the founders and principal team - Business plan

In addition, please complete our form, filling out as much of it as possible. We understand that you may not have all of the answers at this time.

Please enter your information below.

Name

Company Name

Company Address

Address (suite)

City	State	Zip

Phone

E-mail

Please give a brief description of the product or device:

What clinical need does your product satisfy?

What is the regulatory pathway for this product?

Are there currently CPT codes for this product?
Yes No

Are there currently competitors in this market already? If yes, please also describe the market share of the competitors, your competitive advantage and how this product is different from your competitors.

How much funding do you want to raise?

What is stage of development is the product in?

Did someone refer you to us? If so, please let us know who:

Please also your executive summary, resumes of the founders and principal team and your business plan.