Start Your Application
Ready to take the next step with DHCMAK? Complete the application form below to begin your journey. Whether you're applying for admission, updating information, or requesting services, our team is here to assist every step of the way.
Please fill out all required fields accurately.Once submitted, our admissions team will review your application and contact you with the next steps.
Need help with the form? Contact us or call us at (907) 770-2380 for support.
Application Forms
Diversified Practice Application
Diversified Provider Application
Diversified Business Associate Agreement
Diversified Hightail File Share Uplink Procedure
Diversified Request for Information Form
Diversified Financial Arrangement Payment Agreement