Patient Forms and Resourses

Interactive Forms

Patient Registration Forms

Green & Urribarri in Coral Springs, Florida welcomes you to our practice. Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below. Please be sure to bring them with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician. Completing the forms prior to your visit will help speed up the new patient registration process.

Downloadable Forms (English):

Note: The first form authorizes us to send your medical records from our office to another doctor. The second form authorizes other doctors to release your records to our office. Please complete the appropriate medical release form and send to either Green & Urribarri or to the appropriate doctor’s office.

Downloadable Forms (Spanish) 

  • New Patient Registration Form
  • New Patient History Form
  • HPV Testing Disclosure Form
  • Wellness Care & Lab Bill Disclosure Form
  • Insurance Policy Disclosure Form
  • Financial Policy Form
  • HIPAA Notice of Privacy Practices

Note: The first form authorizes us to send your medical records from our office to another doctor. The second form authorizes other doctors to release your records to our office. Please complete the appropriate medical release form and send to either Green & Urribarri or to the appropriate doctor’s office.

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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Patient Resourses

Below you will find links to patient education resources the doctors at Green & Urribarri in Coral Springs, Florida recommend regarding OB/GYN care and aesthetic services.

Patient Brochures

Coming Soon!

Pregnancy Information

Coming Soon!

Please note:  It may take a few minutes to load the files if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below. 

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Green & Urribarri, LLC

Special Offers

Check out our special pricing and discounts on women’s aesthetic and wellness services.

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MonaLisa Touch

Green & Urribarri is proud to offer the MonaLisa Touch® procedure in Coral Springs, Florida. This innovative treatment is an FDA-approved laser therapy used to treat changes in vaginal health often caused by hormonal fluctuations brought on by menopause and certain health conditions. MonaLisa revitalizes your vagina through the generation of collagen and elastin, while promoting the vascularization of vaginal mucosa. 

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Patient Education

For an A to Z listing of common conditions we treat, browse our extensive patient education center.

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From The Dr's Desk