Patient Referral - Urology Centers of Alabama

Urology Centers of Alabama physicians and providers work closely with referring physicians to meet your patients’ needs. Beyond our clinical expertise across the entire spectrum of urologic conditions and treatments, we pride ourselves on scheduling patient referrals as quickly as possible and communicating promptly and completely with the referring physician.

The Urology Centers of Alabama Difference

Physicians refer to Urology Centers of Alabama, because over the last 70 years, we have built a deserving reputation of clinical excellence.
Our team of urologists and urogynecologists understand what’s important to all of our referring physicians, outstanding care for their patients, clear communication, and the most advanced, proven diagnostics.
Our size allows our doctors to sub-specialize and focus on truly giving your patients the best, specific care possible.
Urology Centers of Alabama is constantly seeking and refining new techniques and treatments through research and clinical trials. Your patient will always receive the latest and most advanced diagnostics.
With 15 locations, in some cases we can offer next day appointments in convenient locations.
Please send all records (images, labs, notes) pertaining to appointment to (205) 445-0115.

Name*
First Last
Date of Birth
MM slash DD slash YYYY
Cell Phone
Email*
Street Address
Address Line 2
City
State
Zip Code
Insurance and Contract Number
Is an Insurance Referral Required?
If yes, please fax to 205-445-0115.
Is This Referral Urgent?
If yes, please fax to 205-445-0115.
Referring for Condition/Treatment
Preferred Provider
Referring Physician
Office Name
Office Address
Office Contact Person
Office Phone
Office Fax
Message
Name
This field is for validation purposes and should be left unchanged.