Thank you for your interest in joining the National Diabetes Prevention Program (DPP) Lifestyle Change Program offered by Touro University California.  This program is supported by grants and participants’ health insurances, if applicable. We will ask for your health insurance information if you qualify.  There will be no out-of-pocket cost to you for participating in the program. This enrollment form will be asking for your contact and health information.  We appreciate you providing this necessary information.







Primary language Spoken
Are you comfortable participating in a program conducted in English?