Home
Forms Library
Piedmont HealthCare PO Box 1845 Statesville NC

Piedmont HealthCare PO Box 1845 Statesville NC-2025

Piedmont HealthCare PO Box 1845 Statesville NC Preview on Page 1

See details

4.8 out of 5

46 votes

The document is an authorization form from Piedmont HealthCare for the use and disclosure of protected health information. It outlines the patient's consent to share their medical records with specified individuals or entities, details the types of information that may be disclosed, and explains the patient's rights regarding this authorization. The form also includes provisions about potential re-disclosure of information, expiration of the authorization, and associated costs for copying medical records.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to edit Piedmont HealthCare PO Box 1845 Statesville NC in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Handling documents with our feature-rich and user-friendly PDF editor is simple. Follow the instructions below to complete Piedmont HealthCare PO Box 1845 Statesville NC online easily and quickly:

Log in to your account. Sign up with your email and password or create a free account to test the service before upgrading the subscription.
Import a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Piedmont HealthCare PO Box 1845 Statesville NC. Easily add and highlight text, insert pictures, checkmarks, and signs, drop new fillable areas, and rearrange or remove pages from your document.
Get the Piedmont HealthCare PO Box 1845 Statesville NC completed. Download your modified document, export it to the cloud, print it from the editor, or share it with others using a Shareable link or as an email attachment.

Take advantage of DocHub, the most straightforward editor to promptly handle your documentation online!

See more Piedmont HealthCare PO Box 1845 Statesville NC versions

We've got more versions of the Piedmont HealthCare PO Box 1845 Statesville NC form. Select the right Piedmont HealthCare PO Box 1845 Statesville NC version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2021	4.1 Satisfied (36 Votes)
2014	4.8 Satisfied (46 Votes)
2013	4 Satisfied (34 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How much does Piedmont Healthcare pay scheduler?

Average Piedmont Healthcare Scheduler hourly pay in the United States is approximately $19.02, which meets the national average.

How much does Piedmont Service Group pay?

Average Piedmont Service Group hourly pay ranges from approximately $12.00 per hour for Area Manager to $34.65 per hour for Field Supervisor. The average Piedmont Service Group salary ranges from approximately $64,244 per year for Project Administrator to $89,806 per year for Energy Engineer.

How many locations does Piedmont Healthcare have?

Across our 1,755 physical locations we care for more than 4 million patients and serve communities that comprise 85 percent of Georgias population. This includes 26 hospitals, 75 Piedmont Urgent Care centers, 25 QuickCare locations, 1,875 Piedmont Clinic physician practices and nearly 3,200 Piedmont Clinic members.

How much does Piedmont Health pay?

The average Piedmont Healthcare salary ranges from approximately $28,000 per year for Oncology Data Specialist to $123,000 per year for Senior Content Executive. Average Piedmont Healthcare hourly pay ranges from approximately $12.96 per hour for Sanitation Worker to $44.14 per hour for Health Screener.

How do I contact Piedmont Healthcare?

Give us a call at 833-PHC-4YOU that is 833-742-4968 to speak with one of our new patient coordinators!

How much does Piedmont Hospital pay CNA?

The estimated total pay range for a CNA at Piedmont Healthcare is $17$22 per hour, which includes base salary and additional pay. The average CNA base salary at Piedmont Healthcare is $20 per hour. The average additional pay is $0 per hour, which could include cash bonus, stock, commission, profit sharing or tips.

Piedmont HealthCare PO Box 1845 Statesville NC-2025

Here's how it works

How to edit Piedmont HealthCare PO Box 1845 Statesville NC in PDF format online