Fax (302) 503-7986
For your convenience...
This is the page where you can gain access to the following documents:
Notice of Privacy Practices
Authorization for Release of Medical Records
Permission to Discuss Protected Health Information with Family and Friends
Office Financial Policy
You will be asked to complete all of the above documents as a part of the new patient intake process. Please do not send in these forms if unsolicited. If you provide us with your email address, we can send the link to the entire intake packet directly to your inbox so that you may deliver the required information digitally. If you would rather print out the PDF versions of the forms and return them by mail or hand-delivery, you may do so by clicking on the links to each document below.