Billing Questions Piedmont Behavioral Services Billing Questions Please fill all sections below and then click on Submit button at bottom. If there any issues then please use Laptop or Computer. You also can try to use Google Chrome browser on smartphone if needed. Patient Name(required) Patient DOB(required) Patient Email(required) Date of Service(required) Person's Name Requesting ( If applicable example Legal Guardian)(required) Billing Question Detail(required) Submit ShareEmailMoreTweet
