Ende Hand Center
Hospitals SC Dover
Forms & Policies
Please complete the Advocare Adult Patient Registration, Advocare HIPAA Acknowledgement of Privacy Practices, Advocare Consent and Disclosure Authorization, Medical Questionnaire and Advocare Child/Dependant Patient Registration forms if applicable.
Be sure to bring them with you to your scheduled appointment.
: if you do not bring the completed forms with you, it may result in rescheduling your appointment.
We appreciate your cooperation.
The items listed below the forms are informational.
Forms to complete and bring to the office
past history/ family history
Advocare Adult Patient Registration
Advocare Child/Dependent Patient Registration
Advocare Assignment of Benefits
Advocare HIPAA Acknowledgement of Privacy Practices
Advocare Consent Disclosure Authorization
Advocare Payment Policy
Advocare Guide to Understanding Your Statement
Advocare Notice of Privacy Practices