PROD - US - Partners Intake Form

  • Thank you for your interest in collaborating with Dexcom

    We are not reviewing new partner applications in the US, except for Stelo. We are reviewing all partnerships requests outside the US. We appreciate your submission and will keep your information on file for future consideration.

    Please complete the request below. Your responses will then be shared with the Dexcom team for consideration. Dexcom is under no obligation to partner with you.

  • You hereby grant Dexcom, its affiliates, partners, distributors, resellers, service providers, suppliers and any other party when involved in but not limited to the production, distribution, sale or marketing of any Dexcom product or service an unrestricted, worldwide, non-exclusive, sublicensable, fully paid-up, royalty free, perpetual, irrevocable license to your submissions including their contents along with all related intellectual property and any other proprietary rights. You acknowledge and agree that Dexcom has no obligation to (1) review the submissions; (2) acknowledge receipt of the submissions, (3) provide any attribution or compensation for any use of the submissions including any related intellectual property or proprietary rights by Dexcom, and (4) keep any submissions or their origins confidential.

  • Intellectual Property Disclosure


    Please do not disclose any information you deem proprietary or confidential. Our questions are not a solicitation for any such information. We value your partnership and the importance of your information, and to minimize the risk of disclosure of your confidential or proprietary information, the questionnaire provides direct questions and is designed to minimize the risk of disclosure of such information. Confidential and proprietary information includes, but is not limited to, any information you have not previously made public which you deem to be confidential and/or the subject matter of a trade secret or IP protectable information. Please keep in mind that if such information is disclosed, Dexcom is not under any obligation to treat such information as confidential or proprietary. Therefore, please take extra caution regarding disclosure of any such information. We invite you to seek advice from an attorney if you are not sure of what information is deemed confidential or proprietary.

  • What is the opportunity you would like to explore with Dexcom? Select all that apply*

  • Dexcom Products

  • Which Dexcom product(s) are you most interested in?*

  • Company Information

  • Is your product / service defined as medical device*
  • Please check all social media platforms your company has*
  • Please share your combined following on social media platforms*
  • Do you currently work with any other glucose biosensor or CGM companies?*
  • Are you interested in marketing opportunities with Dexcom*

  • Geography Information

  • Customers

  • Who are your customers?*
  • What areas are you focused on providing solutions for?*
  • How many monthly active users do you have?*
  • How many active users are on CGM (if any)?*

  • Data Integration

  • Are you looking to integrate data from Dexcom devices into your offering?*
  • What type of data integration are you currently working with?*
  • Identify the country(ies) which you will collect customer personal data*
  • Identify the country(ies) in which that data will be stored / hosted*
  • Identify the country(ies) in which you will process customer data*
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  • Data Integration for Health Systems

  • What type of CGM data integration are you interested in?*
  • EHR system used by your organization*
  • Do you support FHIR APIs?*

  • Remote Patient Monitoring (RPM)

  • Do you offer Remote Patient Monitoring (RPM) services?*
  • What is the primary purpose of your RPM solution?*
  • Please select what the RPM is utilized for (select all that apply)*
  • Does your solution support a discharge program?*
  • Do you have an exclusivity with any health systems for your integration solution?*
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  • EHR Integration

  • Do you integrate with any EHRs?*
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  • In what format is data shared?*
  • What types of data do you share or plan to share? Please select all that apply*
  • Are you certified by any EHR vendors?*
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  • Do you have an exclusivity with any health systems for your integration solution?*

  • Distribution

  • Are you interested in distributing Dexcom products as part of your offering?*
  • What is an approximate range of monthly volume you are looking to procure?*
  • What type of distribution is required to your customer?*

  • Brand Partnerships

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  • Data Privacy

  • Do you have an established Privacy Program?*
  • If Yes, Please check boxes and provide a copy as applicable*
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  • Final Questions

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  • Please click submit to submit your partner intake application.

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