Patient Forms

We look forward to taking great care of you.

Patient Forms and Resources

If you prefer not to use the electronic Patient Portal, you may download and complete selected forms by hand and return them to us via email, fax, or in person.

Patient Portal Guide
Preparing for Surgery (Preoperative Instructions)
After Surgery
Medical History Form
Financial and Privacy Policy Acknowledgement
Release of Medical Records
Privacy Practices
Non-Discrimination Policy

Information You Can Trust

Learn About Skin Cancer

Skin Cancer Support

See What Our Clients Are Saying

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I wanted to thank you and your staff for taking such good care of me when I visited the surgery center. I was happy to be treated so kindly and really appreciate that your nurses went out of their way to make me comfortable and help accommodate me with my modesty / religious preferences. Thank you.

—A
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I just want you to know how much it meant to me to see you at the visitation. What a class act you are! He really enjoyed the few times we were there, and he loved your nurse! After talking to many friends, I want you to know that you are highly thought of by your patients.

—LH
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The concern and compassion shown during my surgery will be forever appreciated.

—AK
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Thank you for doing a great job on getting cancer off my eyelid and out the corner of my eye. It has healed well! Every one of you in the office treated me well and took good care of me and I really appreciate that. I'm very pleased that my eye is alright and I hope you can see how is has healed. Thank you so very much!

—RM
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Thank you for taking good care of me. Mohs surgery is difficult. You all made it easier.

—TD
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Thanks for your friendly service provided by your staff and the best and most efficient healthcare from the heart of one of the most prestigious physicians in Dermatology.

—KR
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The lovely ladies at the front desk could not be more accommodating.  They make you feel comfortable and they're so pleasant!  Your surgical assistant was so incredibly professional, but warm and friendly.

—JM