Enroll in DHIN:  Save time, save money and provide better care.

It is the expressed expectation of DHIN for practices that make orders and receive medical results through DHIN, to use DHIN as the exclusive source of delivery of these results (STAT results exempted from this requirement). Practices which utilize DHIN as a source of convenience (i.e. receiving medical results from sources in addition to DHIN, typically determined after about 3 months of being trained on DHIN) will be subject to an annual fee for this service.  There is no charge for using DHIN’s core results delivery services for those practices that have signed-off on DHIN or for those practices which do not make orders and use DHIN to search for information on their patients.  

By completing the form below, your practice will be on its way. Once we have received the form the DHIN Provider Relations Coordinator will contact you to get your staff set up with DHIN. If you have any questions about this form or DHIN enrollment, please contact us at (302) 678-0220 or by email at newuser@dhin.org.

Enrollment Form

Section 1 - Group / Practice Contact Information













(Please include these providers: MD, DO, OD, DDS, DPM, DC, PA, and APN)








Please Provide the practice account numbers for:



Section 2 - Contact Person(s) - Admins, Office, Providers, and Staff Users








At a minimum, please include an email address for the contact indicated as 'Primary Contact' above.
If you are a Provider, please provide the following:




Enter additional healthcare providers, by clicking 'Add another contact', until all healthcare providers have been entered
Click here to enter text

Section 3 - Additional Locations










Location Contact Person(s)





If you are a Provider, please provide the following:




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