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Eastern Urology Associates, P.C.

Patient Information

Hospital Affiliations | Your First Appointment
Patient Documents
Insurance and Payment Information | Privacy Practices

Hospital Affiliations

Your First Appointment

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records
  • Completed patient forms

Patient Documents

Please print, complete, and bring the following patient forms to your first office visit:
[PDF Help]

These information sheets provide instructions specific to the procedures we perform:
[PDF Help]

Insurance and Payment Information

Eastern Urology Associates is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Privacy Practices

Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients, and a copy is available upon request.



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Eastern Urology Associates P.A.
48 Medical Park East Drive
Suite 350
Birmingham, AL 35235
Tel: 205.838.3040
Fax: 205.833.3627
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