Healthcare Equipment RFI Template

1. Organization Information

Organization Name Contact Person Email Address Phone Number Address

2. Project Details

Project Title Project Summary Project Timeline Budget (if applicable)

3. Equipment Requirements

Type of Equipment Quantity Functional/Technical Specifications Purpose / Intended Use

4. Response Instructions

Deadline for Responses Submission Method Additional Instructions

5. Supplier Information (To be completed by supplier)

Supplier Name Contact Person Email Address Phone Number Company Address

6. Supplier Response

Product/Service Description Compliance with Technical Specifications Delivery Lead Time Warranty / Support Details Certifications (if any) References / Past Projects Comments / Notes

7. Equipment List Table

Equipment Name	Model/Version	Quantity	Key Specifications	Remarks