Member Registration

Step 1

To become a member please start by completing the form in full below.

Fields marked with an * are required

CONTACT INFORMATION

AVAILABILITY

INTERESTS

ADDITIONAL PRACTICE INFORMATION

Applicable for multiple locations only.

INDIVIDUAL AUTHORIZED TO INITIATE DPG MEMBERSHIP

*This is not a contract, it is an authorization form to become a member of DPG. After you experience the benefits of membership in your 12 month free trial, annual membership is $99 for each subsequent year.