CDC Diabetes Prevention Recognized Program Class Information Form

DPP providers can submit upcoming DPP class information in two ways; fill out the form below or download the class submission document.

For more information on current class listings and registration information, go to the DPP class search page.

Instructions:
  1. The submission form below is for DPP Providers to submit upcoming DPP classes.
  2. Click in each box to select an option or type information.
  3. If the DPP is canceled or rescheduled, please notify michiganDPP@gmail.com.
  4. Questions? Download our Frequently Asked Questions.
* Indicates required field







Session Location

Registration/Contact Info (posted to website)

Class Registration Submitted By (for registration questions from MDHHS)

Other Information


If you would like a copy of the Registration Form for your records,
Print before clicking the Submit button.