New Patients in Middletown, Dover, or Milford

 

Getting Ready for Your Visit

At DTW, we are dedicated to ensuring that your experience with us is relaxed and stress-free. To better assist our patients, we’ve added HIPAA Compliant forms you can access and submit right from our website.  Please complete and submit the forms prior to your visit.

You will need to bring the following items to your visit: 

  • Photo ID
  • Insurance information and card
  • A list of your current medications
  • Any and all x-rays films if applicable
  • Information about what treatments and medications have been tried in the past
  • Medical records from prior visits that you think may be helpful

 


Patient Forms 

There are two ways to complete the required paperwork for your visit. The first is our HIPAA Compliant  Online forms – you can access and submit right from our website, all without printing. The second way is to fill them out by hand and bring to your visit.  Please see below for access to the two different options.

HIPAA Compliant Online Patient Forms

Please complete out each form as part of the packet pertaining to your visit:

Once completed, simply hit submit and our office will receive them. No printing is required.

Download and Print Forms

 To view the above listed forms, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com.

Please bring your completed forms with you to our office at the time of your visit.If you choose to download our forms, please bring your completed forms with you to our office at the time of your visit.


Billing & Insurance

We participate with most local and many national insurance plans.

  • Blue Cross Blue Shield
  • Medicare
  • Tricare
  • Delaware Medicaid
  • Amerihealth Caritas Delaware
  • AETNA
  • Geisinger
  • Cigna
  • United Healthcare
  • And most major insurance carriers

However, it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.

If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.

Please contact our billing office or call your insurance carrier should you have questions.

 

More Information

Our Collaborative Approach to Care

Making It Work

A Northwest Collaborative Practice Model