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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It is a miracle to look at Gordon and not see the large, red, and very irritating sores that were there. Dr. Dhir did the surgeries…I thank God and Dr. Dhir and his assistants for their most patient, kind, and loving treatment of Gordon. He is a special person and I know God has helped us to get this far with his recovery from a most dramatic period in his life.

—The Central Record (newspaper column), October 26, 2006
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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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Merry Christmas and a Happy Holiday to you!  I thank you so much for your thoughts, prayers, and wonderful cards. There is not another doctor like that. You care! That is wonderful.

—SH (after Mohs surgery)
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You are all so kind & caring!  Thank you, Thank you!

—CW
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Thank you so much for being so nice to me and for doing such a great job during my surgery!  Sorry I cried, but I was scared beyond words. I appreciate your professionalism and expertise!

—DK
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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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AT is doing fine. I just wanted to thank you for all your kindness. You were super in my eyes. We will never forget you all. God Bless you all.

—OT
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I don't know anyone who says, "I'm so happy I'm going to the doctor today". However, your staff did an excellent job of making me very comfortable. I know I'm not the only patient and your call was appreciated. It brought back memories of my childhood and our family doctor. You are a good doctor and I would recommend your facility to anyone. I spent a lot of time with your staff and they support you with kindness and compassion.  You made it an experience I can remember with fondness.

—AS
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Fred so enjoyed visiting with you.  He thought you all were pretty spectacular.

—FB
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I just wanted to thank you for taking such good care of my mother through two separate procedures. You have a kind and calming manner that is very rare today in the medical field, especially with the elderly, the ones that need it the most. And it is very much appreciated. Thank you again. May God bless you and your family.

—DB