Matt Gerlach, Executive Vice President & Chief Operating Officer, CHOC Children's

Idea Evaluation Request Form

Please use this form to share with us a short, non-confidential description of your idea, including its application to health and wellness.

We ask that you kindly conduct a quick internet search of products on the market before submitting to ensure that your concept is not already on the market.

The information that you submit will be used to evaluate whether we would like to work with you to commercialize your idea.

Your Name*

Your Email*

Your Phone*

Your Idea Title*

Your Non-Confidential Idea Description*

(limited to 1500 characters)

By entering a submission and clicking “Send” or by otherwise accessing or using this form, I acknowledge my acceptance of, and agree to be bound by the Innovation Institute website Terms & Privacy Policy and I further agree that the content of my submission, as I entered in the box above, is not confidential and not owned or controlled by a third party.

Matt Gerlach, Executive Vice President & Chief Operating Officer, CHOC Children’s

Idea Submission Form

Idea Evaluation Request Form