Job Title / Role

Company Name*

Company Website

What type of product are you working on?*

Brief Product Description*

Include intended use, target users, and key features

Where are you in the FDA process?*

If medical device, what is the expected device class?

Do you have any existing FDA clearances, registrations, or listings?

What services are you interested in? (Select all that apply)

What is your target timeline?*

What is your budget range for regulatory work?

This helps us recommend the right scope and approach

What is your biggest regulatory challenge right now?

Any urgent concerns or deadlines we should know about?

Have you worked with other regulatory consultants before?

How did you hear about Verus FDA?

Anything else you'd like us to know?

Preferred contact method?

Email

Phone call

Video call (Zoom/Teams)

Client Intake Form

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