Registration Form

Denial Management Counseling Home-Based Certification Program

PLEASE NOTE: If you are purchasing the program for an employee or another individual, the registration form should be completed for the individual participating in the DMC Certification Program.


Be sure that the shipping address noted is listed correctly - this is where the needed publications and information packet will be sent.


Once you have submitted the registration form and your payment has been processed, official enrollment in the program will be complete. Copies of the needed publications and the program information packet will be sent to the shipping address. Please allow 10 to 14 days for materials to arrive from your enrollment date.


Once submitting the form below, you can send a check to our main office or complete electronically.

Address check to:

The CENAPS Corporation

11213 Spring Hill Drive,

Spring Hill, Florida, 34609

           Complete Form Below

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