Serving patients across all of Delaware
Welcome to the Modivcare Member website for Delaware. Currently this site hosts information for members about how to get a ride if they have no other way to get a ride. The forms on this site are stored in PDF format. Your computer must have Adobe Acrobat Reader installed for you to be able to read and print the forms. If you do not have a copy of Adobe Acrobat, you can download it for free at www.get.adobe.com/reader.
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Forms
Required for all patients / members using wheelchair or stretcher transport
Instructions for applying for mileage reimbursement for trips performed by family members or friends.
Form recording details of mileage reimbursement trip(s), completion and submission of which is required for payment. (See Mileage Reimbursement program Instructions.)
Instructions on how to fill out the Mileage Reimbursement Trip Log