Register for Electronic Funds Transfer

Coming in May, 2006, Delaware Physicians Care, Inc. will offer electronic funds payment directly to your bank account. If you would be interested in this option, please click here to access the Electronic Funds Transfer (EFT) Authorization Form. Complete the top portion in its entirety and return it along with a voided check or preprinted deposit slip for verification of your bank account number. Completed information may be returned by mail or faxed to:

Delaware Physicians Care, Inc.
Attn: Provider Relations
252 Chapman Road, Suite 250
Newark, DE 19702
Fax: (302) 894-5882