Virtual visits now available. You may be able to schedule a virtual visit with your provider. For more information, call your doctor’s office.
Covenant Health is an innovative, Catholic regional delivery network and a leader in values based, not-for-profit health and elder care. We sponsor hospitals, nursing homes, assisted living residences and other health and elder care organizations throughout New England.

My Payroll Deduction Pledge

Note: This form is for St. Joseph Healthcare employed physicians only. 

Basic Information

First Name  *
Last Name  *
Address  *
City  *
State  *
Zip  *
Department  *
Email  *
Phone  *

My Preferences

Please list my name in the Annual Report as 
Please check if applicable: 

Please invest my pledge in 
If Other, Please specify: 

My Payroll Deduction Pledge

I pledge the following for each bi-weekly pay period  *

If Other, please specify a total pledge, to be deducted in equal amounts across 26 pay periods: 


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