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Patient Information






























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Clinical Urology Associates, P.C.

Insurance
Forms
Emergencies
Prescriptions and Refills
Locations

Insurance
As a courtesy to our patients, all primary and secondary insurances are filed for you by our office staff. However, charges incurred are the patient's responsibility and it is up to you to make sure your insurance company pays within ninety days of service and your account is paid in full.

All of our physicians participate in the Blue Cross, Blue Shield of Alabama PMD program as well as Medicare and Medicaid. We accept assignment on these claims. This means that your insurance company will send payment for your charges directly to our office, however you will still be responsible for any co-pay and deductible charges that apply to your coverage. Most commercial insurance coverages are subject to deductibles and co-insurance amounts, but we will file these for you provided correct information has been given to our staff to verify your coverage. Please be sure our office has the correct information concerning the name of your insurance company and correct contract numbers.

If your insurance company has special requirements such as preadmission certification, second surgical opinions or prior approval for in office procedures, please inform us before your surgery or testing is scheduled.

Please contact our office, if you have any questions regarding your account.

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Forms
For your convenience you can download the following forms, fill them out and bring them with you on your first visit.

Patient Information form
Patient History form
Review of Systems

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Emergencies
One of our physicians is always on call after hours, and on weekends and holidays to handle emergencies. If you feel you have an emergency, or an urgent problem that cannot wait until the office is open, you can reach a physician on call by calling the office phone number any time, day or night.

If the office is closed, our answering service will answer and contact the physician on call, who will call you back. We request that you contact the physician on call only for emergencies, or urgent problems that cannot wait until the office is open. If you are unable to reach the physician on call in an emergency situation, we advise you to go to the hospital emergency room for initial evaluation. The emergency room physician will then contact the physician on call for our practice.

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Prescriptions and Refills
For routine prescription refills, or questions regarding medications, please call the office number Monday through Thursday between 9:00 a.m. and 12:00 p.m. and ask to speak to the nurse.

Our physicians WILL NOT phone in prescriptions or refills on pain medications after hours or on weekends when the office is closed and the physician does not have access to your office medical chart. Please call for refills on these medications at the hours stated above. If you have severe pain and need pain medications after hours, we advise you to go to the hospital emergency room.

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Locations
In GADSDEN, we are located in the 300 Building behind Gadsden Regional Medical Center. Go past the front entrance of the hospital, turn right at the stop sign. Go past the Emergency Room entrance to the signs that direct you to Buildings 100 - 300. We are located in Suite 200 of the 300 Building.

In BOAZ, we are located in the Marshall Medical Center South Physician Office Building, Suite 100. If you go in the main entrance of the hospital and turn right into the Physician Office Building, we are the first door on the right.

In FORT PAYNE, we are located in the Physicians Complex at DeKalb Baptist Medical Center. The hospital drive separates into a right and left drive. Take the right drive. We are the first office on the right.

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Clinical Urology Associates, P.C.
2525 US Highway 431 North
Boaz, AL 35957
Tel: 256.593.8633
Fax: 256.593.2910
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300 Medical Center Drive
Suite 200
Gadsden, AL 35903
Tel: 256.492.4040
Fax: 256.492.4017
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301 Medical Center Drive
SW
Fort Payne, AL 35968
Tel: 256.845.0141
Fax: 256.845.4658
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