New Patient Forms

New Patients - Please print out the forms below, complete them, and bring them along with you for your first visit.

Patient History Form

Patient Registration Form

Family Contact Information Sheet

Should you need a PDF reader in order for your computer to read the above forms, you may obtain it here.   

Also, don't forget to bring:

• Your insurance card(s)

•  A list of all your current medications
    (including over-the-counter type)

About Your Privacy

Notice of Privacy Practices 

Alabama Urology Associates, PC
2022 Brookwood Medical Center Drive
Suite 305
Birmingham, Alabama 35209

Tel:   205-877-2860
Fax:  205-877-2733