Contact Us
Fayetteville Urology Associates
1786 Metro Medical Dr
Fayetteville NC 28304
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 Information

Patient History

Financial Policy


PHI Consent

Records Forms Information


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.