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“Before You Can Break Out of Prison, You Must Realize You Are Locked Up.”

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By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form," you agree to hold AMS of Delaware, LLC harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

20576 Coastal Highway Suite 101
Rehoboth Beach, DE 19971

Mon - Fri: 5:00 AM – 1:30 PM

Sat : 6:00 AM – 9:30 AM

Sun: Closed

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