Suburban Urologic Associates


Suburban Urologic Associates
Providing state-of-the-art urologic care for over 50 years

Hospital Affiliations

Forbes Regional Hospital
2570 Haymaker Road
Monroeville, PA 15146
Jefferson Regional Medical Center
565 Coal Valley Road
Clairton, PA 15025
Southwestern ASC
500 Lewis Run Road
West Mifflin, PA 15122
UPMC, East
2775 Mosside Blvd
Monroeville, PA 15146
UPMC, Monroeville Surgery Center
125 Daugherty Drive
Monroeville, PA 15146

Your First Appointment

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

Patient Forms

New patient packets: Additional forms:

Insurance and Payment Information

Suburban Urologic Associates is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Privacy Practices

Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients, and a copy is available upon request.

Patient Forms

New patient packets:

Packet A
(new patient forms)

Packet B
(new patient, erectile dysfunction forms)

Packet C
(new patient, infertility forms)

Packet D
(new patient, vasectomy consult forms)

Packet E
(established patient forms)

Additional forms:
Consent to
Disclose Patient

Medical Records Release
AUA BPH Symptom Scale
Pelvic Pain and Urgency/Frequency Symptom Scale
Voiding Diary