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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: Submit Online OR Printable (.pdf)
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.