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Jane Integrations Partner Interest Form

Initial Qualification

Why Jane?

Build& technical scoping

Privacy & Security Screening

Welcome to the Jane Integrations Partner Interest Form!

Help the Jane team get to know your company

Tell us a bit about your product, your customers, and where you're headed. There are no wrong answers, and no pressure to have everything figured out yet. If you're unsure about something, just put "TBD" and we'll follow up as needed.

First Name *

Last Name *

Email *

Title *

Company Name (legal name and d/b/a) *

Company Website *

Would you describe your company as a startup or an established organization? *

In a few sentences, describe what your product does and who it serves (e.g., solo chiropractors, group mental health clinics) *

What geographies does your product serve? Note that Jane's business is predominantly serving clinics in Canada, the U.S., and UK. *

Help us understand what your goals are for partnering with and integrating to Jane.

Why do you want to integrate with Jane? *

What makes your product uniquely suited to integrate with Jane? *

Do we share common customers today? If so, what is your estimated # of shared Jane customers today?

What workflows or customer problems does this integration solve?

Who will this integration be most useful for?

Heads up: Jane's API currently supports reading patient, appointment, and treatment data, and writing back to Jane's charting experience. We don't yet support patient or appointment creation, modification, or deletion. If you want to dig deeper before answering, Jane's API documentation is a good place to start.

Jane's API documentation

When you integrate with Jane, do you plan to read or write data back to Jane?

Which data types will your integration need to access?

Do you need patient or appointment create/update/delete? Please note that we do not allow patient or appointment creation, modification, or deletion at this time. *

Briefly describe what your integration will do using Jane's current APIs. *

How do customers sign up for your product or service today? (e.g., online sign-up, plan selection, payment flow)

Please share any visuals, diagrams, or outlines that show how you envision the integration flow — e.g., Figma mockups, workflow diagrams, or screenshots.

Do you expect to require any new API endpoints that are not currently available? (Note: this does not guarantee future development but informs Jane's roadmap planning.)

These questions will help Jane's team assess your company's maturity in your privacy & security program.

What best describes your current security posture? *

Do you handle or store PHI (Protected Health Information)?

Do you have encryption enabled both in transit and at rest?

Do you have a security contact at your company? If so, can you please share their name and email? *