Forms & HandoutsPLEASE READ: Our forms are available for your copy and to print. For your protection— we ask that you DO NOT email us information concerning billing or health issues. To expedite your registration process, we recommend that you print the following forms below and bring them on the date of your visit:
*Please have a PDF Reader installed. If not (click here) to get one. |
Printable FormsNew Patient PacketHIPAA Notice of Privacy Authorization for Disclosure of Health Information Patient Compact (PCMH) Patient Consent Office Policy Educational HandoutsAdvance Care PlanningImmunization Questions Vaccination Schedule for 0-18 Years Vaccination Schedule for Adults |
FOR PATIENTSMeet The DoctorsNew Patient Packet Insurances Accepted Download Forms & Handouts Log-in to My Patient Portal |
OUR SERVICESPreventive CarePhysical Exams Routine Wellness Visits Common illnesses Minor Injuries Immunizations Infectious Diseases |
REACH US ONLINE!Take advantage of our secured web-based system via IQHealth. This allows for secured patient and office interaction when you need it most.
|
Serving the Delaware Sussex County and surrounding regions. |
||
|---|---|---|
|
DC MEDICAL SERVICES 10 W. Laurel St. Georgetown, DE T 302.855.0915 F 302.855.0914/94 Monday-Friday: 9:00am - 6:00pm |
SEAFORD INTERNAL MEDICINE 1501 Middleford Rd. Seaford, DE T 302.629.4569 F 302.628.4669 Monday-Friday: 8:00am - 5:30pm |
SEAFORD INTERNAL MEDICINE 1507 Middleford Rd. Seaford, DE T 302.629.4569 F 302.536.7594 Monday-Friday: 8:30am - 5:30pm |
