2027 Cali DPC Summit Registration

Registration Form

Three days for physicians at every stage of the DPC journey, June 4 to 6, 2027, at HanaHaus in Newport Beach. Complete this form to reserve your seat. Your registration is confirmed once payment clears on the next step. Seating is limited to 80 for Saturday and Sunday and 60 for Friday.
Full name
Preferred name for badge. First name or the name you go by, only.
This is for attendees who go by a different name than their legal one. Do not include titles, credentials, or degrees (no Dr., MD, DO, FAAFP, etc.). Badges print titles separately.
Email address
Phone number with area code
Physician/Other Provider Title. Registration is limited to practicing physicians, residents, and medical students. Your NPI or medical school enrollment will be verified before your seat is confirmed.
Medical School + Expected Graduation Year
NPI
HEADSHOT: Upload your Headshot HERE. Image types allowed: JPG, PNG,

Please upload a clear headshot for the event directory. Please name your headshot with your actual name like this: "Maryal_Concepcion_MD"
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What best describes your current stage in Direct Primary Care?
What is your practice (current and/or future) location? (City + State)

Street Address

Street Address Line 2

CityState

Zip Code
Are you planning to practice DPC specifically in California?
Practice Name (if applicable)
Practice Website
Are you currently accepting new patients?
Current EHR Situation
EHRs Using or Considering
If you marked "other" above please provide more details below
Which areas of technology are you actively interested in?
What support do you want for your business or practice?
If you marked "something else" above, please provide more details.
What marketing support are you looking for?
What operational or clinical support interests you?
What is your top goal for attending the summit?
What challenges are you hoping to solve in the next 6–12 months?
May we share your information with aligned sponsors for pre-event networking and potential sponsor discounts?

Payment

Full 3-Day Pass — Early Bird

All three days of the 2027 California DPC Summit, June 4 to 6 at HanaHaus in Newport Beach. Friday workshops plus the full Saturday and Sunday program. Confirms one seat across all three days. Early Bird pricing through December 31, 2026.

$500.00 Quantity

Saturday + Sunday Pass — Early Bird

The core weekend program of the 2027 California DPC Summit, June 5 and 6 at HanaHaus in Newport Beach. Main-stage panels, breakouts, and networking. Early Bird pricing through December 31, 2026.

$400.00 Quantity

Friday Only — Early Bird

The Friday add-on day of the 2027 California DPC Summit, June 4 at HanaHaus in Newport Beach. Friday Only tickets are non-refundable. Early Bird pricing through December 31, 2026.

$180.00 Quantity

Total

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

By submitting this form and completing payment, I understand and agree to the following:Registration is complete only after payment is received. Friday-only tickets are non-refundable. All other tickets are non-refundable within 30 days of the event. Before that window, registrations may be canceled for a refund or transferred to another physician or medical student.
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Registration Form

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