(215) 676-7940

Membership Application

Becoming a member does not lock you into any long-term contractual commitments or obligations to use our products.  Rather, membership connects you to a network of invaluable resources and access to significant savings on products and services.

You may begin the simple process of joining the DVHCC by filling out the membership application here.


Or you can download the application in Microsoft Word format or in PDF format. Please complete as thoroughly as possible and submit via e-mail, fax, or mail to our office at


Fax: 215-676-7941



All applications for membership and renewal of membership are subject to approval by the DVHCC Board of Directors and contingent 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.