IDEXX Partner request form

    Contact details

    Your name (required)

    Your Position (required)

    Your Email (required)

    Your Phone (required) [phonetext your-phone]

    Partner details

    Company name (required)

    Company website (required)

    Company Address - Street (required)

    Company Address - City (required)

    Company Address - Postal Code/Zip (required)

    Country (required):

    Product details

    Which IDEXX software do you wish to integrate with? (required)

    Product name (required)

    Which category best describes your product? (required)

    Please enter more description of your software (required):

    What problem are you addressing with this integration? (required)

    With this integration can you offer revenue share or another commercial incentive to IDEXX? (required)

    Market Information

    Number of years of product has been in market (required)

    Total estimated number of practices using your product (required)

    Who are you planning to offer this solution to? (required)

    Estimated number of mutual practices (required)

    Do you have an integration with other veterinary practice management system(s) (required)

    Name of other PMS(s):

    Regions covered by your product (required):

    Please select European regions (required):

    Please select North American regions (required):

    Requirements

    Permissions (required)

    User privileges (required)
    After reviewing API Documentation located at xxx, please specify user data access and privilege requirements. For example, your integration may require access to get a list of all practices and/or the ability to create appointments. If sending reminders, please specify the type of reminders, such as services or appointments.

    Data Required (required)
    please specify data you will need for example, your integration may require access to get a list of all clients and/or ability to create appointments. If sending reminders, please specify type of reminder, such as services or appointment

    Referral

    IDEXX Referral

    Note: This IDEXX Partner Integration Request Form is for IDEXX evaluation purposes only. An integration partnership, if any, shall be subject to an API Integration Agreement signed by IDEXX and Partner.