Partner Application

Tell us what you manage. We will send the terms.

A few minutes, and nothing here commits you to anything. If it is a fit, you get the full rate schedule in writing along with your partner kit — usually the same week.

No fee to join No minimum on referral No exclusivity clause Rates in writing before you commit

Application received.

A real person reads these — there is no sequence you have just been dropped into. Expect a reply within two business days.

If it is a fit, that reply carries the full rate schedule, the partner agreement, and your kit. If it is not, you will get a straight answer and the reason.

Partner application

Everything marked with a red asterisk is required. The rest helps us send the right terms the first time.

01 — Who you are
02 — What you manage
Which platforms are those sites on? Tick everything that applies. It tells us which install path you will actually use.
03 — How you want to work
Which track interests you? Not a commitment. If you are unsure, say so and we will tell you which one fits what you described above.

Please do not include patient information. This form is not a HIPAA-covered channel. Nothing about a named patient, their condition, or their contact details belongs in it — and a compliance company should be the one that says so on the form rather than in a policy.

By submitting you agree we may contact you about the partner program. You are not signing up for a newsletter, and we do not sell or share this.