Cold & Flu Protocol

 

Click to view our current cold & flu protocol

 

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: DELAWARE FAMILY CARE ASSOCIATES

 

Consent to Treat

 

HIPPA Disclosure Form

 

                  HIPPA Privacy Notice  (updated 9/23/13)

 

 

INSURANCE INFORMATION

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

 

Aetna PPO (Closed To ALL HMO Products)

Alliance

AmeriHealth 

Cigna

Coventry

Great West Health Care

Highmark Blue Cross Blue Shield of DE

Keystone

Personal Choice

Preferred Healthcare Network

Medicare

Optimum Choice

United Healthcare

 

 

 

 

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 insurance carrier.

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