For Physicians

Physician New Product Request

Lake Health has a structured process for reviewing new surgery supply product requests from vendors. Vendors who would like to submit a New Product Request Form (with a physician’s approval) must follow these guidelines: 

  • In order to submit your product, you must be a Lake Health-approved vendor

  • New Product Request Form must be typed and completed in its entirety – incomplete or handwritten forms will not be accepted or considered

  • You must include the requesting physician's signature when submitting the form

  • A system with multiple items must have all components added to the second page of the form. 

Please download and complete the New Product Request Form here. When complete, please email your request to