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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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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Your kindness and professionalism, as well as that of your staff, was very much appreciated. As a healthcare worker, I take pride in treating my patients like I myself would like to be treated. It is quite evident that you each do that for your patients, too. Such admirable qualities are hard to find. Thank you for the excellent care that you gave my mother. I will never forget your kindness and the kindness of everyone who also helped care for her.

—DGH
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I wish to thank the staff for being so nice, kind, and patient with me.  All were just great! 

—RM
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I would like to thank you and your staff for the wonderful care I received in having my nose growth removed.  I appreciate how quickly you were able to see me and your expert care.

—MS
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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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You are all so kind & caring!  Thank you, Thank you!

—CW
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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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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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To you, my dear Dr. Dhir - your presence exudes experience and competence.  You have an incredible gift of being personable (no more than that - charming), real, yet focused with an incredible work ethic.

—JM