NEW PATIENT FORMS

 

The Urology Health - NEW PATIENT PACKET includes the following important forms and policies.  Please download and print at home then fill out the information on all pages.  Bring along the completed packet to your first office visit for review.

 

Print all pages of the packet together or select pages individually:

 

NEW PATIENT PACKET (all 16 pages)

 

Patient Registration Form

 

Patient History Form

 

Billing & Payment Policy

 

Red Flag Identity Theft Policy

 

HIPPA Privacy Policy

 

MEDICAL RECORDS REQUEST FORM

 

PATH LAB MATERIAL RELEASE FORM

 

ABOUT YOUR VISIT 

FIND A PHYSICIAN 

MAKE AN APPOINTMENT 

NEW PATIENT PACKET

PAY YOUR BILL ONLINE

EMPLOYMENT OPPORTUNITIES

 UROLOGY HEALTH OFFICE LOCATIONS

ABINGTON
1235 Old York Road
Abington, PA 19001
215-517-1100

BRYN MAWR
245 South Bryn Mawr Avenue
Bryn Mawr, PA 19010
610-525-2515

CONCORDVILLE
1020 Baltimore Pike
Glen Mills, PA 19342
610-744-2844

DOYLESTOWN
599 West State Street
Doylestown, PA 18901
215-230-9070

DREXEL HILL
2100 Keystone Avenue
Drexel Hill, PA 19026

610-259-3000

HORSHAM
3 Village Road
Horsham, PA 19044
215-884-7114

HUNTINGDON VALLEY
2301 Huntingdon Pike
Huntingdon Valley, PA 19006
215-947-4105

MEDIA
1088 West Baltimore Pike
Media, PA 19063
610-744-2844

PAOLI
4 Industrial Boulevard
Paoli, PA 19301
610-525-2515

PHILA - CHESTNUT HILL

8815 Germantown Avenue
Philadelphia, PA 19118
215-242-8260

PHILA - NAZARETH
2701 Holme Avenue
Philadelphia, PA 19152
215-335-3535

PHILA - ROXBOROUGH

5735 Ridge Avenue
Philadelphia, PA 19128
215-482-1141

PLYMOUTH MEETING
400 Davis Drive
Plymouth Meeting, PA 19462

215-482-1141

WEST CHESTER

1450 Boot Road

West Chester, PA 19380

610-696-5227

WEST GROVE
1011 West Baltimore Pike
West Grove, PA 19390
610-869-6851

WYNNEWOOD
100 Lancaster Ave, East 361
Wynnewood, PA 19096
610-649-6420
WILMINGTON, DELAWARE
701 North Clayton Street
Wilmington, DE 19805
610-869-6851

 

   

                                                                                                                                                                                      
 SURGERY CENTER LOCATIONS                UHS PROSTATE CANCER CENTER

ABINGTON

1235 Old York Road
Abington, PA 19001
215-517-1100

PAOLI

4 Industrial Boulevard
Paoli, PA 19301
484-320-7700

CANCER CENTER
400 Davis Drive
Plymouth Meeting, PA 19462
610-825-2151

CORPORATE OFFICE
140 West Germantown
Plymouth Meeting, PA 19462
484-530-0205

BILLING OFFICE
P.O. Box 1287
Blue Bell, PA 19422
484-530-0203

 

Urology Health Specialists LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Urology Health Specialists, LLC is not affiliated with Universal Health Services, Inc. or UHS of Delaware, Inc.