ChristianaCare

Flu season visitor restriction – age 16 or older (Restricción de visitantes durante la Temporada de Influenza (Flu) – Mayores de 16 años.)

Flu Season Visitor Restriction

Visitors temporarily restricted to age 16 or older

As a safety first organization, ChristianaCare is implementing a temporary visitation age restriction starting Tuesday, Jan. 21. This temporary restriction protects patients, their loved ones and health care workers during this time of extremely high number of influenza cases and other respiratory illnesses circulating in our community.

The new restrictions limit visitors to patients in Christiana and Wilmington hospitals to persons age 16 or older. Children and teens younger than 16 years are most likely to get the flu and remain contagious longer than adults. This restriction does not apply to outpatient and ambulatory services.

Thank you for your understanding and cooperation.

For more information about the Flu visit our Health Library.


Restricción de visitantes durante la Temporada de Influenza (Flu)

Temporalmente solo se permiten los visitantes mayores de 16 años.

Como una organización que promueve la seguridad ante todo, ChristianaCare está implementando una restricción temporal en la edad de visitantes a partir del viernes 21 de enero. Esta restricción temporal protege a los pacientes, a sus seres queridos y al personal de cuidados de salud durante esta época con un número extremadamente alto de casos de influenza y de otras enfermedades respiratorias que circulan en nuestra comunidad.

Las nuevas restricciones, en los hospitales Christiana y Wilmington, sólo permiten visitas a pacientes de personas mayores de 16 años. Los niños y adolescentes menores de 16 años son más propensos a contraer el flu y son contagiosos por más tiempo que los adultos. Esta restricción no aplica a las áreas de servicios ambulatorios.

Gracias por su comprensión y cooperación.

Para más información sobre la gripe, visite nuestra Biblioteca de Salud.

Christiana Care Breast Centerat the Helen F. Graham Cancer Center & Research Institute

Breast Center & Breast Surgeons Forms

We have made several of our forms available for patients to download. Filling these out in advance of your first visit with a surgeon or the Breast Center will allow you to complete them at your convenience and bring them to the office on the day of your visit. If you are new to either of our practices or haven’t had an office visit in greater than 6 months, we encourage you to download, print, and fill out the patient forms.

We request that returning patients’ complete new medical history forms every 6 months to keep our records current. Upon arrival, please be prepared to review one additional form that is pertinent to the day of your appointment and update your contact information. Please don’t forget your insurance card, driver’s license and referral with you to your appointment. If you have any questions about which form to fill out please call our office. Thank you.

Click on the title to download a printable PDF file. You will not be able to fill out information directly into this form. You will need to print it out and write in the answers.

Breast Surgeons Forms

Breast Surgeons Patient History Form

Breast Surgeons Patient History Form 2

Breast Center Forms

Breast Imaging History Form

Breast MRI History Form

Authorization to Request Health Information Form

Request for Access to Health Information Form

Conditions for Treatment Form

Patient Information Form

If you’re unable to open these files, you may need to download the free Adobe Acrobat Reader program.

 

ChristianaCare Breast Center
Helen F. Graham Cancer Center & Research Institute, Suite 1400 (West Entrance)
4701 Ogletown-Stanton Road, Newark, DE 19713 directions
302-623-4200