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Medical Illustration Request Form

Fill out this form to provide us with your contact information, information about your illustration project, and preferred payment method. After you have filled it out, hit the button to submit your information to Medical Visuals. After reviewing your request, we will call you to schedule a time to meet in person and discuss your project in more depth. If you have a sketch, manuscript, illustration sample or other materials to share that would help us when producing your illustration(s), you can bring them to our subsequent meeting. We will contact you to schedule a meeting. If you have any additional questions or concerns, please contact us at (614) 292-8749.
About You
Illustration Project Information
Include proposed number of illustrations and a description of each.
Our illustrations are priced according to type. If you are unsure, leave this blank and we can determine tighter which type is most appropriate for your needs.
Include the name of the journal, book title, teaching module, class presentation or conference.
This is the client representative who will serve as the main point of contact for all correspondence throughout the project as well as the final approver of the illustration(s).
If you have a sketch, manuscript, illustration sample or other materials that would help us when producing your illustration(s), you can email them (hslmedvis@osumc.edu) or bring them to the initial meeting.
Billing Information