Order Materials

Below you’ll find a list of awareness and branded materials. Type in the quantity of each item you’d like to receive, and we will send you the materials upon receipt of payment. The materials are divided into the following categories:

  • DPC Information
  • DPC Branded Items

All materials are free of charge for Patient Ambassadors.

Materials Order Form

Name(Required)
Mailing Address(Required)
Are you a Patient Ambassador?(Required)
MM slash DD slash YYYY

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