Piedmont Urgent Care is dedicated to providing you with the best care experience possible. If you are visiting us for the first time, streamline your registration process by booking ahead or printing the Patient Registration Form below and filling it out prior to visiting one of our locations.

If you have any questions about our Patient Registration Form, please do not hesitate to contact us at one of our convenient locations!

Patient Form Links

Attorneys & Insurance Companies

Attorney and Insurance Company Request for medical records follow the steps below:

Email your request to medicalrecords@wellstreet.com


Attorney and Insurance companies may follow up:

Customer Service for medical records department – (888) 224-5030