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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Very professional, caring people. Will recommend to others.

—GR
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Thank you for the opportunity to spend time in your practice learning about Mohs surgery and more particularly the art of reconstruction. I sincerely appreciate that you tailored your teaching to my future plans. You are the only professor to have done that so far. This week has given me a great deal of insight into future standards for appropriate skin cancer treatment and management. I look forward to a day when I will be honored to call you a colleague.

—MN, Medical Student
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You are truly exceptional.  As for your staff, I am most appreciative of their care also.  They welcomed me, treated me splendidly and kept me in an excellent state of mind.  I had no questions that they couldn't answer and their conduct built confidence in me.  Kudos to your entire organization.

—TLS
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I am truly blessed to have you in my life. Thank you so much for your special attention.

—AS
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You are all so kind & caring!  Thank you, Thank you!

—CW
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When it comes to being a great doctor, you more than fill the prescription. I'm so very fortunate to have you for my dermatologist.

—TO
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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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You have been absolutely wonderful during this surgery. Thanks so much for your genuine concern and kindness. All of us have been so impressed with your medical expertise, as well as your sincere (and almost forgotten) love for your profession and your patients. You truly are the epitome of a great physician—one to be highly recommended, respected, and recognized. Thanks so much for a job well done and for treating your patients as people, not simply a paycheck.

—RS
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A young lady at the entrance greeted me in such a friendly manner that the expression on her face, her posture, and her words caught my attention. The instructions are also striking: "you may bathe", "please try to stop smoking", "we would prefer", "please perform a few days", "please be patient as you heal." And finally, "We wish you a speedy recovery." These instructions come from doctors and nurses who are authorities in dermatology. Yet, they are delightfully modest.

—W