NEWSLETTER

 

Click to view our current newsletter (including information about H1N1)

 

NEW PATIENT FORMS

(All forms are in .pdf form. Download Adobe Reader for free from Adobe.com if you are having trouble viewing the files.)

 

Registration Form

 

Consent to Treat

 

HIPPA Disclosure Form

 

HIPPA Privacy Notice

 

 

INSURANCE INFORMATION

Delaware Family Care has contracts and is in Network with the following insurance companies:

 

Aetna PPO

Alliance, Mamsi

Cigna

Optimum Choice

Great West Health Care

Preferred Healthcare Network

Coventry

United Healthcare

Blue Cross Blue Shield of DE

Ameri Health - Existing patients only

Medicare

Aetna USH - HMO - Existing patients only

 

We ask you to present your insurance card upon arrival and co-payment is due immediately following your visit. A $5.00 surcharge will be assessed if your co-payment is not received at the time of your visit. If you have any questions regarding your co-payment, please check directly with your insurnace carrier.

Any Questions -- please feel free to check with the Billing Department -- Option #7 on our Voice Mail Menu.