Physician Resources

Referral Forms

Eugene du Pont Preventive Medicine and Rehabilitation Institute referral form
Christiana Care’s Eugene du Pont Preventive Medicine & Rehabilitation Institute at Pelleport, part of Christiana Care’s Department of Family & Community Medicine, offers a range of services designed to promote health, prevent disease, and minimize disability.

Medical-Legal Partnership
The Medical-Legal Partnership is a partnership between Christiana Care Health System and Community Legal Aid Society, Inc. (CLASI). CLASI will advocate on behalf of economically disadvantaged patients through the Delaware Medical-Legal Partnership, which offers free on-site civil legal services to people who meet certain income and health care utilization criteria. CLASI can assist with denials or terminations of public benefits, eviction notices, threatened utility shut-offs, immigration, advance health care directives among others.

Visiting Nurse Association (VNA) referral form
Because people heal better at home, the Christiana Care Visiting Nurse Association is there to patients and their families benefit from the healing power of home.