Piedmont Fitness Center

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In order for PAH employees to take advantage of special pricing and payroll deduction, employee applications can only be completed at the Fitness Center located at 2001 Peachtree Road, NE, Suite 100, Atlanta, GA 30309 - (404) 605-1966
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MEMBER INFORMATION

HEALTH QUESTIONNAIRE

I have answered the questions above accurately and completely. I understand that my medical history is a very important factor in the development of my fitness/wellness program. I understand that certain medical or physical conditions which are known to me, but which I do not disclose to the staff of Piedmont Healthcare, may result in serious injury to me. If any of the previous conditions change, I will immediately inform the staff of those changes. I, knowingly and willingly, assume all risks of injury from my failure to disclose accurate, complete, and updated information in accordance with the attached questionnaire.

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