DPC ALliance Program

How To Apply

Complete An Application

Fill out this application below if you are in one of the following states: AL, FL, GA, IL, IN, or MO.

Complete An Application

Fill out this application below if you are in one of the following states: AR, AZ, CA, CO, CT, DE, ID, KY, LA, MD, ME, MI, MS, MT, NC, NJ, NY, OH, OK, PA, SC, TN, TX, UT, VA, VT, and WA.

Provide The following items

a. Most Updated CV
b. Copy of Active Medical License
c. Recent Claims History report from current insurance carrier
d. Complete copy of your current policy and renewal documentation.

EMAIL US

Email to Citlally Mancilla at: ctmancilla@ddiimail.com

FOR ANY QUESTIONS

If you have any questions in the interim, please do not hesitate to contact Citlally at 210-689-6673

Some policy Highlights

We strive for excellence for our clients and that is why we want to give you the best policy. Here are some things that you should know about our policy.

*Where allowable by law

Contact

For any inquiries please email

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