Patient Financial Responsibility Form
About your care, Patient Forms
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Medical Records Request
About your care, Medical Records Request, Patient Forms
Urological Associates of Southern Arizona is committed to protecting the privacy of your medical information. Download the UASA Medical Records Request Form
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HIPAA Acknowledgement and Consent to Treat
About your care, Patient Forms
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Download Notice of Privacy Practices Here -
Race, Ethnicity, Language Form
About your care, Patient Forms
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Patient Registration Form (Espanol)
About your care, Patient Forms
