DxCG Partners, Software Solutions, Technology Services, Technology Solutions

Learn more about our German Partner Program

Partners | Partner Application

If you wish to learn more or would like to be considered for DxCG’s Partner Program, please complete and submit the following application form, and a DxCG Partner Representative will follow-up with you. Fields marked with * are required.

Contact

* First Name: * Last Name: Title: * Email: * Phone: Mailing Address:

Company

* Company Name: * Web Site: * Brief Company Description (30-40 word overview): * Company Value Proposition (briefly describe your product, service, or technology, and the value provided): Geography Served: Industry Focus: * Application Area (what specific business problems are you interested in solving with DxCG predictive modeling?):

Partner Model

* Please select at least one: Distributor
Consultant
Technology
Disease Management
Global Partner

Product Interest

* Please select all that apply: RiskSmart Stand Alone
RiskSmart Stand Alone-with API for Integrators
RiskSmart Enterprise
DxCG Professional Services
RiskSmart Global

Where did you hear about DxCG?

Conference / trade show
Web site
Referral
Trade publication / article / research
Other

top