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Piedmont assistance 2025

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The document is a Financial Assistance Application for patients seeking financial aid from Piedmont Healthcare. It requires detailed personal and household information, including income sources, insurance status, and documentation to support the application. The applicant must certify the accuracy of the information provided and agree to cooperate with assistance programs. Documentation requirements include proof of identity, residency, and income.

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Click ‘Get Form’ to open the Piedmont Assistance application in the editor.
Begin by filling out the 'Applicant Information' section. Ensure all fields are completed, including the Date of Service, Facility, Patient Full Name, Social Security Number, and Date of Birth.
Provide your Physical Address and Mailing Address details accurately. This information is crucial for communication regarding your application.
List all household members by legal name in the designated section. Include their Date of Birth, Age, Relation to the patient, Occupation, Social Security Number, and Annual Income.
Answer the income-related questions thoroughly. Indicate if the patient has health insurance and provide details about any other sources of income.
Review the documentation requirements listed at the end of the form. Ensure you have all necessary documents ready for submission.
Finally, sign and date the application at the bottom. Make sure a witness also signs if required.

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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.

What financial aid is available at Piedmont?

Need-based aid includes the Federal Pell Grant, the Federal Supplemental Educational Opportunity Grant, the Federal Subsidized Stafford Loan, the Federal Work-Study Program, and several institutional programs.

Does Piedmont University offer scholarships?

Scholarships and Grants Piedmont offers the personal and immersive benefits of a small, private college education at the cost of a large flagship public school. Financing your college career is a collaborative effort here at Piedmont. Merit scholarships can assist with the overall cost of your college degree.

Will Piedmont Urgent Care see you without insurance?

If Piedmont Urgent Care is not on your insurance plan (or if you have insurance but do not wish to use it), treatment is available at a flat, competitive self-pay rate beginning at $210. Exact amounts are based on the tests, treatment and services determined necessary at your exam.

How much does it cost to go to Piedmont University?

2024-2025 Cost of Attendance Full-Time Fall/Spring Graduate StudentMasters Degree (9 hours) 3 semestersDoctorate (6 hours) 3 semesters Tuition Fees $18,480 $14,610 Books, Course Materials, Supplies, Equipment $1,200 $900 Living Expenses (Housing Food) $16,002 $16,002 Transportation (average) $300 $1,0503 more rows

What is the most common financial aid application?

Colleges and career schools use the FAFSA form to determine how much financial aid youre eligible to receive, which could include grants, scholarships, work-study funds, and loans. You must apply for aid every year, but with the right information in hand, its easy.

piedmont hospital financial assistance phone number

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What is financial assistance?

Financial assistance or financial aid can refer to: Financial assistance (share purchase), assistance given by a company for the purchase of its shares or those of its holding companies. Funding of science, the provision of financing for scientific research projects.

How do I get help paying my Piedmont gas bill?

If youre having trouble making your payments while enrolled in EPP, call Customer Service at 800.752. 7504 from 7:30 a.m. to 7 p.m. Monday through Friday to request information on assistance agencies in your area.

How much does Hope cover at Piedmont University?

Piedmont University ScholarshipAmountMatch Score Zell Miller Scholarship $5,616 Login | Register Hope Scholarship $4,304 Login | Register