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. Patient PortalOur office is accessible via IQHealth's Patient Portal, a secured web based system that allows you to stay connected with your healthcare provider and stay on top of your overall health.Don't have a login? Please call during our office hours or speak to one of our helpdesks on your visit and we can help you get started! Go to Patient Portal » |
Printable FormsNew Patient PacketNew Patient Packet (Spanish) Bariatric Intake Form HIPAA 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 |
PRIMARY CARE WELLNESS VISITSCommon IllnessesImmunizations Minor Injuries Preventive Care Physical Exams Routine Wellness Visits |
DIABETES NUTRITION EDUCATIONLearn More About the Program Here » |
Have you had your Routine Wellness Visit?You can prolong your life and lower the cost of your healthcare, just by taking control of your health!
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Serving the Delaware Sussex County and surrounding regions. |
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DC MEDICAL SERVICES 10 W. Laurel St. Georgetown, DE 19947 T 302.855.0915 F 302.855.0914/94 Monday-Friday: 9:00am - 6:00pm |
SEAFORD INTERNAL MEDICINE 1501 Middleford Rd. Seaford, DE 19973 T 302.629.4569 F 302.628.4669 Monday-Friday: 8:00am - 5:30pm |
SEAFORD INTERNAL MEDICINE 1507 Middleford Rd. Seaford, DE 19973 T 302.629.4569 F 302.536.7594 Monday-Friday: 8:30am - 5:30pm |
SEAFORD INTERNAL MEDICINE 9109 Middleford Road. Seaford, DE 19973 T 302.629.9200 F 302.629.9204 Monday-Friday: 8:30am - 5:30pm |
