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 so much for your care & skills & kindness.

—MPS & CS
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I just wanted to let you know how much I appreciate all you've done for me. Since my birthmark is gone, I feel like a new person. I can't stop looking at myself. You and your staff have been so wonderful to me. I just wanted to let you know how much it means to me to have gotten to know all of you. Thanks.

—HS (following three staged surgeries to remove a giant birthmark measuring 8 x 6 inches on the left breast)
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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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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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I would like to thank Dr. Dhir who is as good as it gets in giving patient care. In this day and time when health care is criticized for various reasons, it is very refreshing to have an organization such as yours doing it the right way. Since my experience with your people, I feel very good about health care and will let others know that you are not only dedicated to your craft but are also dedicated to your patients. Thank you again for making this a very pleasant experience.

—WY
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Your concern, compassion, and confidence helped get me through some trying times. You and your professional staff were fantastic. All I can say is Thanks!! You guys are a class act!!

—EH
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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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Thank you so much! Sorry I cried. I get hormonal sometimes! You all were great and I appreciate everything you did for me!

—MW
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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