Resources · Patient Forms
Patient Forms
Fill in your paperwork online and print it, or print a blank copy and complete it by hand. Bring it to your visit — it saves time at the front desk.
1 · New patients
Before your first visit
One packet, about twenty minutes. Fill it in online and send it to us, or print it and bring it to your visit.
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New Patient PacketForm
Patient registration and health history in one place, with your name and date of birth entered once.
Or one at a time: Patient Registration (about 8 min) · Health History (about 12 min)
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Acknowledgment of the Notice of Privacy PracticesForm
Confirm that you were given, or offered, our Notice. Already included in the New Patient Packet.
Read the Notice of Privacy Practices or its one-page summary at any time.
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HIPAA ConsentForm
Your consent for us to use and share your health information for treatment, payment and health care operations. Already included in the New Patient Packet.
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Consent to Telehealth VisitsForm
What a video visit can and cannot do, privacy, emergencies and billing. Needed before your first video visit.
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Bladder DiaryForm
A three-day record of when you urinate, how much, what you drink and any leaks — if your doctor asked you to keep one.
Your privacy
Where your information goes
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Sent securely to the practice
When you press Send, your forms go over an encrypted connection to our office’s patient system, which is covered by a HIPAA business associate agreement — never a third-party form service. Nothing you type is saved on your device.
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Filed into your chart
Our staff review what you send and file it into your medical record. The online copy is kept no more than 90 days after it is filed. Prefer paper? Print your form and bring it to your visit.
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Your rights
How we use and protect your health information, and your rights over it, are set out in our Notice of Privacy Practices.
What to bring to your first visit
- Your completed forms
- Photo ID
- Insurance card(s)
- Medication list or bottles
- Referral or prior records, if you have them
2 · Before a procedure
Before a procedure
Read these ahead of time. Anything that needs a signature is signed at your appointment.
3 · After a procedure
After a procedure
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Vasectomy — discharge instructions
Rest, support, activity, the semen analysis, and when to call.
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GreenLight — what to expect afterwards
What is normal while the prostate heals, typical recovery times, and when to call.
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Robotic prostatectomy — recovery and catheter care
Diet, activity, medications, caring for your Foley catheter and follow-up visits.
4 · Privacy & records
Privacy and your records
Who we may talk to about your care, and how to send or request your medical records.
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Permission to Share Information with Family or OthersForm
Name the people we may talk to, what we may discuss with each, and what phone messages we may leave.
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Authorization to Release or Request Medical RecordsForm
Send your records to another doctor or person, have another provider send records to us, or get a copy yourself.
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Insurance & Billing
Plans we have participated in, and how billing works. Call to confirm your plan.
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Notice of Privacy Practices
How your health information may be used and shared, and your rights.
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Summary of our Notice of Privacy Practices
The Notice on one page: how we use and share information, your rights, our responsibilities.
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External site, opens in a new tab
Vasectomy — patient information
From the Urology Care Foundation, the American Urological Association’s patient foundation.
Contact Us
We’re here to help. Schedule your visit or ask a question today.
No question is too small — and nothing you share here surprises us. Reach out however feels easiest.
- Call(305) 672-4222
- Visit12411 Biscayne Boulevard
North Miami, FL 33181 - HoursMonday–Friday, 9:00 am – 5:00 pm
Your message goes to Dr. Robbins’ own team — you’ll hear back within one business day.
Get More Information
Need us sooner? Call (305) 672-4222.
We’re Here When You Need Us
Our Office
Visit us in North Miami, or call to book your appointment.
North Miami
- Address12411 Biscayne Boulevard
North Miami, FL 33181 - Phone(305) 672-4222
- Fax(305) 944-3624
| Monday – Friday | 9:00 am – 5:00 pm |
| Saturday – Sunday | Closed |
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