Welcome, Screening for Life service providers. This section will provide up-to-date information, screening guidelines, policy memos, newsletters, and forms. Visit this site regularly to look for new information and updates.
SFL Policy Manual 
- PDF Version of the Screening for Life Policy Manual, revised November 2015 – THIS MANUAL IS CURRENTLY BEING UPDATED. PLEASE CONTACT THE SFL PROGRAM IF YOU HAVE QUESTIONS. DHSS_DPH_Healthaccessde@delaware.gov or call 302-744-1040
Provider Newsletters
- December 2024 issue [PDF]
- February 2023 issue [PDF]
- September 2020 issue [PDF]
- First Quarter 2017 issue [PDF]
- March 2016 issue [PDF]
- December 2015 issue [PDF]
- September 2015 issue [PDF]
- June 2015 issue [PDF]
- January 2015 issue [PDF]
- September 2014 issue [PDF]
- May 2014 issue [PDF]
- October 2013 issue [PDF]
- March 2013 issue [PDF]
- December 2012 issue [PDF]
- July 2011 issue [PDF]
- April 2011 issue [PDF]
- January 2011 issue [PDF]
- September 2010 issue [PDF]
- June 2010 issue [PDF]
- March 2010 issue [PDF]
Provider Forms and Applications
- Instructions for Completing Provider Enrollment Forms [PDF] Revised January 2019
- SFL New Provider Application Form [PDF] Revised March 2024
- SFL Provider Enrollment Agreement [PDF] Revised March 2024
- SFL Provider Enrollment Agreement for Lung Cancer Screening Providers
- 2025 Screening For Life Allowable CPT Codes and Rates [PDF] Updated January 2025
- SFL List of Providers [PDF]
Client Enrollment Forms
Send completed enrollment form to:
Screening for Life
540 S. DuPont Highway, Ste. 11
Dover, DE 19901
or email the form to the Screening for Life program.
Screening for Life/Health Care Connection
Client Enrollment Form
- English [ PDF ]
- Spanish [ PDF ]
- Haitian (Creole) [ PDF ]
Applicant Self-Attestation Form
Delaware Residency Verification Form
- English [ PDF ]
- Spanish [ PDF ]
- Haitian (Creole) [ PDF ]
Employment Verification Form ( Applicant )
- English [ PDF ]
- Spanish [ PDF ]
- Haitian (Creole) [ PDF ]
Employment Verification Form ( Spouse / Parent Guardian )
- English [ PDF ]
- Spanish [ PDF ]
- Haitian (Creole) [ PDF ]
Financial Support Verification Form
- English [ PDF ]
- Spanish [ PDF ]
- Haitian (Creole) [ PDF ]
Eligibility and Acceptable Information
- English [ PDF ]
- Spanish [ PDF ]
- Haitian (Creole) [ PDF ]
Information Sheet ( What is SFL / HCC? )
- English [ PDF ]
- Spanish [ PDF ]
- Haitian (Creole) [ PDF ]
Please Note: These forms require legal size (8.5″ x 11″) paper.
