HCP - 2026 Lead Form

Get in touch or request a sample

Healthcare professionals in Canada can request a Dexcom G7 sample by submitting the form below.
Name*

First NameLast Name
Work or Clinic Email*
example@example.com
Work or Clinic Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Specialty*
Work or Clinic Name*
Work or Clinic Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Consumers looking to try Dexcom G7 can request a voucher to redeem at pharmacy for a Dexcom G7 sensor through our Sample & Savings program.
YesNo
By choosing to opt-in, you are granting DexCom, Inc. and Dexcom Canada, Co. (together "Dexcom") permission to process the personal data you have provided so that we may send you additional information and communications by email related to Dexcom products from time-to-time. You may opt-out of these solicitations at any time by selecting the unsubscribe link at the bottom of any email or by contacting us by email at CA.accounts@dexcom.com or by mail at the address listed in Contact Us, and you may opt-in again through one of those contacts. Dexcom respects the privacy and confidentiality of your personal information. We will not share your personal information with any third-parties, except as otherwise noted in our Privacy Policy.
Please verify that you are human*
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Get in touch or request a sample