Piedmont VIP Membership Agreement

Piedmont combines a personalized approach with innovative technologies to deliver compassionate, coordinated care to patients. Piedmont patients have access to coordinated care within the Piedmont Clinic, Piedmont’s clinically integrated network of physicians that champions a culture of clinical excellence, superior service, reliable safety and cost-effectiveness, and also have access to their personal health record through Piedmont’s MyChart.

In addition to the high-quality care provided to all patients, Piedmont offers the Piedmont VIP Program for patients who want access to their primary care physician as a concierge-level service, as well as want expanded wellness services not typically covered by health insurance.

Choose one of the agreements below, read, sign and email it to PiedmontVIP@piedmont.org.
 

Download & Sign the Agreement  or  Download & Sign the Family Agreement