Main Phone: (302) 734-7246 Fax: (302) 678-8890
Work Injury or Auto Accident?
Call (302) 724-6484 or walk-in with a picture ID and claim information
If you have an appointment, please print and complete the Registration form. This will help save your waiting time when you visit the hospital.
Fax these forms to (302) 678-8890
or print them and bring it along with your picture ID, insurance card, and test results.
If you are a patient involved in an accident or work injury, use the form below: