Delaware Appendix 2 — Form of Health Care Provider Disclosure is a form used by health care providers in Delaware to disclose information regarding their practice and services. This form contains the provider's name, address, contact information, registration number, license type, license expiration date, and the types of services they provide. It also includes the provider's qualifications, insurance acceptance, and any additional information required by the Delaware Board of Medicine. There are two types of Delaware Appendix 2 — Form of Health Care Provider Disclosure, one for individual providers and one for group practices. The individual provider's form includes information about the provider's education, training, and experience, as well as any additional certifications. The group practice form includes information about the group's members, services, and insurance acceptance. Both forms must be completed and submitted to the Delaware Board of Medicine for approval.