For New Patients

DOWNLOAD AUTHORIZATION TO DISCLOSE HEALTH INFO FORM
DOWNLOAD NEW PATIENT FORM
DOWNLOAD UCA PATIENT AUTHORIZATION FORM
UCA PATIENT HISTORY
PATIENT VIDEOS

What to bring to your appointment:

  • Your insurance card
  • A list of current prescription or over-the-counter medications you are taking, including dose and frequency
  • Pertinent information about your medical and surgical history
  • Bring any pertinent x-rays or records you may have
  • Forms the office may have sent to you
  • Payment & Insurances Urology Centers of Alabama Accepts:

  • Medicare
  • Most HMO and PPO plans

  • We are happy to process all insurance forms for you as long as you have provided us with the appropriate insurance information. We expect payment promptly if you receive a bill from our office for balances that may be due. Please feel free to discuss any questions you may have about billing with our office staff.

    Urology Centers of Alabama is a provider for most major insurance plans. However, it is in your best interest to check your insurance provider's list of participating physicians to be sure your plan allows you to be seen at our office. Also, please review withyour insurance customer service representative (or insurance provider) the rules and limitations on coverage and reimbursement.

    New and Existing Urology Patient Forms

    Anticoagulants
    BPH and ED Treatment Questionnaire
    CT of the Abdomen and Pelvis Instructions
    Fiducial Marker Placement
    Intravenous Pylogram (IVP) Instructions
    Laser Prostate Surgery for BPH
    MediCopy - Disability, Insurance, or FMLA Forms
    Patient History Form
    Patient Registration
    Instructions for Prostate Needle Biopsy
    Enrollment Form for Provenge
    Instructions for Radiation Therapy
    Request for Correction/Amendment Health Info
    Guide to Robotic Radical Prostatectomy
    Surgery Center, Outpatient and Hospital Pre-Operative and Surgical Instructions
    TUMT Pre - Operative Instructions
    Vasectomy Authorization
    Download Vascetomy Instructions for Patients
    Information for Urology Patients