Contact Us
Fayetteville Urology Associates
1786 Metro Medical Dr
Fayetteville NC 28304
910-485-8151
Fax 910-485-2963

Office Hours
Monday-Thursday 8:15 a.m. to
5:00 p.m.
Friday 8:15 a.m. to 12:00 p.m.

PATIENT FORMS

Patient Information

Patient History

Financial Policy

Waiver

PHI Consent

Records Forms Information

Arbitration


Print and fill out the above forms. You may mail, drop off or fax to 910-485-2963 . Should questions arise regarding these forms, please call our office, 910-485-8151, for further clarification. We are happy to clarify or answer any questions you may have.

Note: The form is in PDF format. You can download Adobe Acrobat Reader if your computer is not configured to read PDF documents.