DHCF has revised the Physician Order Form (POF) to become effective May 1, 2015. The new POF Form is designed so that it can be used by individuals seeking personal care aide (PCA) services, adult day health program (ADHP) services or both. Once the form is completed and signed by a qualified practitioner, the form must be faxed to DHCF’s Long-term Care Assessment contractor, Delmarva Foundation, at 202.698.2075. Upon receipt, Delmarva will schedule a time to meet with the individual to conduct a face to face assessment to determine eligibility for services.