Click a link below to download the DVHCC Membership Application in one of the following formats:
DVHCC Membership Application Microsoft Word
DVHCC Membership Application PDF
Please complete as thoroughly as possible and submit via e-mail, fax, or mail to our office at
2980 SOUTHAMPTON ROAD, PHILADELPHIA, PA 19154
All applications for membership and renewal of membership are subject to approval by the DVHCC Board of Directors andcontingent upon receipt of a check for Seven Hundred Fifty ($750.00) dollars representing:
- the one-time initiation fee of Five Hundred ($500.00) dollars
- the first year’s annual dues of Two Hundred Fifty ($250.00) dollars
Please make your check payable to the Delaware Valley Health Care Coalition, Inc.
Visit our Frequently Asked Questions page or contact our office with any questions or concerns.