Participation Documents

Below are the required documents for becoming a participating Viva provider. Please return signed Agreements and completed New Provider Information Form to Viva Health by email to vivaparticipation@uabmc.edu, fax to 205-449-8619, or by mail to:

ATTN: Provider Development
417 20th St N
Suite 1100
Birmingham, AL 35203
Advanced Practice Practitioner Agreement
Primary Care Physician Agreement
New Provider Information Form