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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A royal thank you for treating me like a queen.

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

—K
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I appreciate your generosity in allowing me to observe you at work.  This was very educational, and now I feel I can properly inform patients about the expected experience when undergoing Mohs surgery.  It is clear to me what an elegant, accurate, and effective method to excising skin cancers.  I am impressed with the way your clinic is run.  The nurses and staff are very professional and responsive to the patients which I’m sure they appreciate.  I hope to see you in the future!

—ENT Resident
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You pros did a dandy job on my surgery this month:  no pain, no bleeding, no scar, no bad news. :-)

—TK
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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
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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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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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Doctor, thank you for being so kind and so good at your work.

—BC
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I felt compelled to write you based on my superior care.  There is not a 'health grade' that is high enough to describe your caring of me.  I have had some excellent care in Tucson but your efforts are over the top of the others.

—TS