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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Dr. Dhir, Erika, & Lindsay, The surgery site on my forehead healed quickly, with no aches, pain, or scarring.  You did great.  :-)  Your "fun" attitude makes my visits a breeze.  Thanks Much!!

—TK
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Just want you to know how pleased I was with the exceptional care received.  Never in my 84 years have I felt so comfortable in a medical setting!

—EK
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Thanks again for your patience with your patients.

—BM
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I just wanted to thank you for being so great to work with during my treatments. It is great to be able to talk with someone so knowledgeable and understanding. I'll keep you posted on everything.  Thanks again

—JR
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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
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Three days have passed since your removal of the cancer from my face.  The pain from the surgery has been light and tolerable.  There has been no need for pills to relieve this pain.  There are no signs of bleeding or of swelling.  You mentioned the danger to a nerve which controls the mouth, had the cancer not been removed.  The body is wonderfully made!  It has never occurred to me that there is a mechanism which enables us to open our mouths.

—W
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We had a very positive experience at AZ Mohs Surgery. From Nathalie & good directions, kind eyes Lindsay’s reception, to beautiful Blanca’s good natured pre surgery banter and Dr. Dhir’s surgery – all went well and we appreciated our very fine treatment.

—JD
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Just a brief note to express my satisfaction with the outcome of the surgery thus far. I appreciated you taking time out of your busy schedule to answer my questions. Also, I want to compliment your staff because they're so courteous whenever I call and they're so helpful. I recommended you highly to a friend who is now considering surgery on her face. She sees a doctor at UK but I said she should consider using your services. In short, I'm glad I put my face in your hands.

—CS