Referral or Request for Appointment

Please complete the following form. One of our schedulers will be in contact. Not all information is required, but the more information we receive, the easier we will be able to assist you.

Personal Background

Reason for Referral:

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If you have any additional documentation such as photos, medical records insurance cards, pathology reports, or other lab results that you would like included in your request/chart, please upload here.
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Our Locations

Apex Medical Center
537 Stanton Christiana Rd
Newark, DE 19713

Apex Office Hours

Monday:
8:00 am - 7:30 pm
Tuesday:
8:00 am - 7:30 pm
Wednesday:
8:00 am - 7:30 pm
Thursday:
8:00 am - 5:00 pm
Friday:
8:00 am - 4:00 pm
Middletown
118 Sandhill Drive,
Suite 104 Middletown, DE 19709

Middletown Office Hours:

Monday:
8:00 am - 7:30 pm
Tuesday:
8:00 am - 7:30 pm
Wednesday:
8:00 am - 7:30 pm
Thursday:
8:00 am - 5:00 pm
Friday:
8:00 am - 4:00 pm

Phone:

(302) 633-7550

Email:

info@premierdermde.com

Call Center Hours:

Monday - Thursday:
8:00 am - 4:00 pm
Friday:
8:00 am - 4:00 pm