New Patient and Annual clinic/insurance forms: Please complete the required forms listed under Medical Clearances in your Charger Health Portal or arrive to the clinic 15 minutes prior to your scheduled appointment to be sure paperwork is completed. Patient Rights and Privacy Notice Billing: If you received a bill for services not covered by your insurance plan (or copay/deductible) or for past due accounts, you can choose to pay by: Credit Card or HSA/FSA card in the clinic or on the phone. Payments can be processed in the clinic Monday thru Friday, between 8am-11:30am or 1pm-4pm. Stop by or call 256-824-5495 or Payroll Deduction. If you choose the payroll deduction option, please fill out the top portion and forward to the Faculty and Staff Clinic. You can send the form to us by either: A secure message attachment using the billing/insurance option in your patient portal, or Drop off in person or by Campus Mail to UAH Health Services, Wilson Hall 327, or email to fsc@uah.edu Medical Records Release Forms: Authorization to release healthcare information TO the Faculty/Staff Clinic Authorization to release healthcare information FROM the Faculty/Staff Clinic