Tuscaloosa Surgical Assiciates, P.C.

1837 Commons North Drive, Tuscaloosa, Alabama 35406
Office (205) 366-0696   Fax (205) 366-1451


Registration Form for Download

If you would like to fill out the registration form before you come to our office for your appointment, just click the link below to download and print the form, so that you can fill it out, and bring it with you.

Registration Form

This form is in PDF format. If it doesn't open for you, you can download and install Google's Chrome Web Browser or use Adobe PDF Reader.



Tuscaloosa Surgical Associates, P.C.
1837 Commons North Drive
Tuscaloosa, Alabama 35406
Office (205) 366-0696     Fax (205) 366-1451

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