Patient Forms

Forms can be completed online through the patient portal or you can print them from our website and bring them with you to your appointment.

Frequently Asked Questions

Frequently Asked Questions

What happens if I do not join the membership practice?

Your doctor is committed to the membership practice model and is asking all current patients to join. If you do not join the membership practice at this time, you may still continue to see your doctor and your doctor will not discriminate against you. That said, your doctor is serious about the importance of Privia to his/her practice and is asking all patients to participate.

Can I use my HSA or Flexible Spending Account to pay for Privia?

Often, Privia members can use their HSA or FSA to pay for their Privia membership. Consult your plan administrator to confirm.

Does Privia Health replace my health insurance or Medicare?

No. Privia Health is a membership program that provides enhanced non-covered benefits on top of your health insurance plan or Medicare and covers only those benefits.

What is Privia’s cancellation policy?

At Privia, we stand behind our membership service. If for any reason you are not completely satisfied or need to change physicians, you may cancel your membership at any time.

Will my membership fee increase?

Privia is offering significantly discounted membership pricing to existing patients for a limited time. The cost of a membership may increase over time – the earlier a patient joins, the better the membership pricing they receive.

I’m pretty healthy and hardly ever go to the doctor. Why do I need this?

Privia memberships are designed to be equally beneficial whether your goals are remaining healthy, preventing disease, catching potential issues early, or maintaining a high quality of life while managing a chronic illness. Most healthcare services today focus primarily on “sick care” — Privia’s goal is keeping you healthy in the first place by helping you to proactively manage your health. When you do get sick or are diagnosed with a serious disease, you’ll have confidence in knowing you have convenient access (via in-person, phone or email) to a top physician, to expert personal health advisors, and to Privia’s relationships with some of the best specialists and hospitals in the world.

What if I cannot afford the monthly membership fee?

A limited number of reduced fee need-based memberships are available for qualified patients who cannot afford the monthly fee. Need-based memberships generally follow HHS Federal Poverty Guidelines. To request an application form, please contact a Privia Membership advisor at 1-888-774-8428.