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New Patient Online Forms

New Patient Intake Form

Medical History:

Patient History

I certify that the information provided is, to the best of my knowledge, true and accurate.

Family History (siblings, parents, grandparents)

Claymont Walk-In Care offers a variety of services and treatments that will save you a visit to the hospital. We welcome walk-ins, so come in at your own convenience!

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Hours of Operation
Monday 9:00 AM - 6:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday 9:00 AM - 6:00 PM
Friday 9:00 AM - 6:00 PM
Saturday 9:00 AM - 5:00 PM
Sunday 9:00 AM - 5:00 PM
Open on Major Holidays
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