error fb Gplus IN twitter down-arrow Email Phone Check-Mark padlock circle_arrow minus plus play_btn close Clipboard_Icon Shopping-Cart_Icon Speech_Bubble_Icon Stethoscope_Icon pharmacists menu left-arrow right-arrow facebook search cart
Go Back
Buy Now

Ready to take the next step?

To learn more about Dexcom Continuous Glucose Monitor (CGM) products and services, please complete the form below.

By providing the information below, you consent to the processing of such data by DexCom, Inc. and Dexcom Canada, Co. (together "Dexcom") so that we may provide you information about products and services that we think may meet your needs and we may learn more about your interest in our current or future products and services. If you do not provide sufficient information, we will not be able to meaningfully respond to your interest. Dexcom respects the privacy and confidentiality of your data. We will not share your personal information with any third-parties, except as otherwise noted in our Privacy Policy. For further details on how your data is used and otherwise processed, and your data rights, please visit our Privacy Policy.

Fields marked with an * are required. You may choose to provide the optional information to help us assign the appropriate representative to assist you with your inquiry.

Personal Information

Diabetes Therapy Information

Insurance Verification

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.

By submitting this form, you represent that you are at least 18 years of age.