16 Del. Admin. Code § 4201-5.0
A health care provider who is treating a patient who has been diagnosed with cancer or a benign tumor shall ask that patient to fill out a form requesting disclosure of patient's length of residency in Delaware, primary residential address in Delaware and the location and nature of the patient's primary past employment. The health care provider shall retain the form required by this Section with the patient's medical records pursuant to generally accepted protocol for the retention of patient medical records. The health care provider shall include the information from the form required by this Section with information it submits pursuant to Section 3.0 of these regulations. The Department shall provide a form for use in complying with this Section.
16 Del. Admin. Code § 4201-5.0
18 DE Reg. 63( 7/1/2014) (Final)