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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Thank you for the Dermabrasion. My nose looks 100% better. You are the BEST doctor I know, and Theresa you are by far the best nurse I ever seen. Thank you for being so thoughtful and making me feel special. I just can't say enough about you two.  Thank you.

—TD (following Mohs surgery for facial skin cancer and dermabrasion of nose)
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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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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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Thank you all for being so kind, compassionate, and caring.

—PR
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Just wanted to say thanks, even though very late, for the excellent procedure you did on my face (left side).  It is practically invisible.

—TB
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Dr. Dhir & Staff, I really appreciate all your professional & caring treatment.  All well here.

—K
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Thank you so much for your excellent surgery. The friendliness of your staff and you made the surgery very easy and relaxed for me, and I do appreciate it.

—SH
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Dr. Dhir, I couldn't have asked for a better outcome.  Your skills, as well as that ever-important bedside manner are unparalleled.  Thank you all again!

—MH (nurse practitioner)
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I feel that my surgery experience was much more pleasant than I had expected because of your expertise along with your gentle, caring nature. You can't know how much that unexpected phone call meant to me.  Comments from family and friends have been that they cannot believe that it has been only a week since the surgery when they saw my forehead. I think they consider you a magician, too!! I hope I never need this type of surgery again but will not be concerned. Thank you.

—GC