AIDHC Address

1600 Rockland Road
Wilmington, DE 19803
» Get Map & Directions
» Learn More About This Location

Location

1600 Rockland Road
Wilmington, DE 19803
» Get Map & Directions
» Learn More About This Location

General Information

Phone:(302) 651-4000

For Appointments

Phone: (302) 651-4200

Hours: 24 hours

What to Bring & Just New Patients

  • photo ID
  • medical and pharmacy insurance cards
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
New Patients

Bring these forms for your first appointment:

What to Bring

  • photo ID
  • medical and pharmacy insurance cards
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
New Patients

Bring these forms for your first appointment:

Returning Patients

JUST Returning Patients

Returning Patients

Forms & Resources

New Patient Forms
Returning Patient Forms
Resources for Patients & Families

JUST New Patients

New Patient Forms

JUST Returning Patients

Returning Patient Forms

JUST Returning Patients & Resources

Returning Patient Forms
Resources for Patients & Families

JUST Resources

Resources for Patients & Families

Forms & Resources (Spanish TESTING)

  • your photo ID
  • insurance and/or Medicaid cards
  • referral from your referring physician (if required by your insurance)
  • co-payment, if applicable
  • legal guardianship or custody papers if you are not the patient’s parent
If available, please provide:
  • preferred pharmacy contact information
  • names and dosages of all medications your child is taking (including over-the-counter medications)
  • name and number of your primary care physician
  • parent (and child’s) social security numbers
  • parent work information (address, telephone numbers)
  • immigration information (if your child was not born in the United States)
  • list of prior immunizations
New Patients

Bring these forms for your first appointment:

Authorization for Treatment and Release of Information (PDF): English | Español

Assignment of Benefits (PDF): English | Español

Returning Patient Forms
  • Patient Presents without Legal Guardian (PDF):
    English | Español
    Note: A parent or legal guardian must be with a child for a first visit.
New Patient Forms
Returning Patient Forms
  • Patient Presents without Legal Guardian (PDF):
    English | Español
    Note: A parent or legal guardian must be with a child for a first visit.
Resources for Patients & Families
 
Old References

What to Bring (JUST TESTING)

  • photo ID
  • medical and pharmacy insurance cards
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
Forms for Your First Visit

Forms & Resources (JUST TESTING)

Resources
New Patients
Returning Patients

What to Bring (Amy Test)

  • photo ID
  • medical and pharmacy insurance cards
  • any forms needed for your appointment
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
  • photo ID
  • medical and pharmacy insurance cards
  • any forms needed for your appointment
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
Forms Database

Save time for your next appointment. Find new patient forms or other related forms in our forms database.

Forms & Resources (Amy Test)

Forms & Resources (Amy Test)

Forms for Appointments
Patients & Families Resources

What to Bring (Ferdie Test)

  • photo ID
  • medical and pharmacy insurance cards
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
  • any forms needed to complete before your appointment

Note: See Forms & Resources for new patient and recurring patient forms.

AIDHC SURGICAL PAGES

New Patient Forms
Returning Patient Forms
Resources for Patients & Families