---
title: Medical Device Product Catalog Request Form Template | Paperform
description: Professional form template for requesting medical device catalogs and product information. Collect specialty area, practice details, equipment inventory, and HIPAA-compliant delivery preferences.
url: "https://paperform.co/templates/medical-device-product-catalog-request-form"
type: static
generatedAt: "2026-03-28T00:44:28.278Z"
---

[← Back to free form templates](/templates/)    ![Medical Device Product Catalog Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/medical-device-product-catalog-request-form.png)
    [Preview](https://_preview.paperform.co/ai-template/medical-device-product-catalog-request-form) [Use this template for free](/create?ai-template=medical-device-product-catalog-request-form)    [Contact Forms](/templates/category/contact/)[Marketing & Lead Generation](/templates/category/marketing/) [Healthcare](/templates/industry/healthcare/)[Business](/templates/industry/business/)[Medical Devices](/templates/industry/medical-devices/) [Sales Professional](/templates/role/sales-professional/)[Manager](/templates/role/manager/)[Physician](/templates/role/physician/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
### Streamline Your Medical Device Information Requests

Healthcare providers need efficient ways to stay informed about the latest medical devices, equipment, and technologies. This **Medical Device Product Catalog Request Form** helps physicians, practice managers, and healthcare administrators quickly request relevant brochures, catalogs, and information packets from medical device manufacturers—without the back-and-forth of phone calls and emails.

#### Built for Healthcare Professionals

Whether you're outfitting a new practice, upgrading existing equipment, or researching solutions for specific clinical needs, this form collects the right information upfront. You'll specify your specialty area, practice size, current equipment inventory, and preferred delivery method, ensuring manufacturers send you the most relevant materials for your situation.

The form includes fields for practice type (hospital, private practice, surgery center), number of practitioners, specialty focus areas, and current equipment brands—helping vendors understand your context and provide targeted information rather than generic marketing materials.

#### HIPAA-Compliant Delivery Options

Understanding the importance of secure communications in healthcare settings, this template includes options for HIPAA-compliant delivery preferences. Choose between physical mail to your practice address, secure digital delivery, or scheduled sales representative visits, ensuring information reaches you through appropriate channels.

#### Automated Follow-Up and Lead Management

Built on Paperform, this template goes beyond simple data capture. Use conditional logic to show different questions based on specialty area or practice type, calculate priority scoring based on practice size and purchasing timeline, and route submissions to the appropriate regional sales teams automatically.

Connect your form to your CRM (HubSpot, Salesforce, Pipedrive) to track catalog requests as qualified leads, trigger automated follow-up email sequences based on requested product categories, and sync practice information across your marketing and sales tools.

Need to turn inquiries into formal agreements? Connect with [Papersign](https://papersign.com) to send vendor agreements, trial equipment contracts, or purchase orders for eSignature once the evaluation process moves forward.

For more complex workflows, integrate with [Stepper](https://stepper.io) to orchestrate multi-step processes: route high-value requests to sales leadership, schedule follow-up calls automatically, update inventory management systems, and trigger personalized content delivery based on specialty and equipment interests.

#### Perfect for Medical Device Manufacturers and Distributors

This form template is ideal for medical device companies, surgical equipment manufacturers, diagnostic technology vendors, and healthcare supply distributors looking to qualify leads, segment prospects by specialty and practice size, and deliver relevant product information efficiently.

Built with Paperform's professional design capabilities, you can customize the form to match your brand, embed it on product pages and landing pages, or use it as a standalone microsite for trade show campaigns and digital advertising. With SOC 2 Type II compliance and enterprise-grade security, you can trust Paperform to handle sensitive practice information appropriately.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Medical Equipment Trade-In Inquiry Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/medical-equipment-trade-in-inquiry-form.png)

### Medical Equipment Trade-In Inquiry Form

A professional inquiry form for healthcare providers looking to trade in existing medical equipment. Captures current equipment details, condition assessment, upgrade preferences, and trade-in expectations.](/templates/medical-equipment-trade-in-inquiry-form/)
[![Particle Beam Therapy Equipment Information Request](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/particle-beam-therapy-equipment-information-request.png)

### Particle Beam Therapy Equipment Information Request

Request detailed brochures, technical specifications, and information packets about particle beam therapy equipment for your cancer treatment center.](/templates/particle-beam-therapy-equipment-information-request/)
[![Regenerative Medicine Consultation Form for Joint Pain](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/regenerative-medicine-consultation-form-for-joint-pain.png)

### Regenerative Medicine Consultation Form for Joint Pain

A professional consultation request form for patients seeking regenerative medicine treatments for joint pain, collecting information about affected areas, pain history, and treatment preferences.](/templates/regenerative-medicine-consultation-form-for-joint-pain/)
[![Commercial Insurance Product Information Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/commercial-insurance-product-information-request-form.png)

### Commercial Insurance Product Information Request Form

Request comprehensive commercial insurance information packets, brochures, and catalogs tailored to your business needs. Schedule a consultation with an insurance broker to discuss coverage options.](/templates/commercial-insurance-product-information-request-form/)
[![Corporate Gift Program Catalog Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/corporate-gift-program-catalog-request-form.png)

### Corporate Gift Program Catalog Request Form

Request a customized corporate gift catalog for your business. Share your occasion, budget, and customization needs to receive tailored recommendations and schedule a consultation.](/templates/corporate-gift-program-catalog-request-form/)
[![Corporate Language Training Program Brochure Request](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/corporate-language-training-program-brochure-request.png)

### Corporate Language Training Program Brochure Request

Request detailed information about our corporate language training programs. Get a personalized brochure with course options, pricing, and schedule a needs assessment for your team.](/templates/corporate-language-training-program-brochure-request/)
[![Enterprise Cybersecurity Assessment Inquiry Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/enterprise-cybersecurity-assessment-inquiry-form.png)

### Enterprise Cybersecurity Assessment Inquiry Form

Request a comprehensive cybersecurity assessment for your enterprise. Share your security posture, compliance needs, and current challenges to receive a tailored consultation.](/templates/enterprise-cybersecurity-assessment-inquiry-form/)
[![Medical Device Sales Inquiry Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/medical-device-sales-inquiry-form.png)

### Medical Device Sales Inquiry Form

A professional inquiry form for healthcare facilities and providers interested in medical device purchases, featuring facility qualification, purchasing timeline, regulatory requirements, and demo scheduling.](/templates/medical-device-sales-inquiry-form/)
[![Medical Equipment Supplier Inquiry Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/medical-equipment-supplier-inquiry-form.png)

### Medical Equipment Supplier Inquiry Form

Professional inquiry form for healthcare facilities to request quotes and information about medical equipment. Includes facility details, equipment specifications, quantity needs, budget range, and delivery requirements.](/templates/medical-equipment-supplier-inquiry-form/)
[![Nuclear Medicine Imaging Center Services Catalog Request](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/nuclear-medicine-imaging-center-services-catalog-request.png)

### Nuclear Medicine Imaging Center Services Catalog Request

Request detailed information about nuclear medicine imaging services, procedures, and schedule consultations with our specialized diagnostic center.](/templates/nuclear-medicine-imaging-center-services-catalog-request/)
[![Retirement Community Lifestyle Brochure Request](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/retirement-community-lifestyle-brochure-request.png)

### Retirement Community Lifestyle Brochure Request

Request brochures, catalogs, and information packets from retirement communities. Select your preferred locations, home types, lifestyle amenities, and schedule a personalized community tour.](/templates/retirement-community-lifestyle-brochure-request/)
[![Revenue Cycle Management Assessment](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/revenue-cycle-management-assessment.png)

### Revenue Cycle Management Assessment

Evaluate your healthcare organization's revenue cycle performance with our comprehensive RCM assessment. Get expert insights on claim volume, denial rates, payer mix, and collection challenges.](/templates/revenue-cycle-management-assessment/)