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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Thanks for the advice you gave me to have the mole removed. I am thankful to God for the knowledge he has given you to know how to help people! Thanks again.

—JAC
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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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Thanks again for your patience with your patients.

—BM
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I have worked at a hospital for ten years so I have a real insight to health care facilities. The minute I walked in your door for surgery, the better I felt. I would rate my experience with your staff as outstanding. The people who work at your facility are very good at what they do. I was treated by smiling, friendly faces who loved their job and love their patients. The whole staff were very professional but most importantly were very concerned and caring towards me as their patient.

—WY
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Thank you, Lindsay, for the warm welcome.  Thank you Blanca and Dr. Dhir for your professionalism and skills, and everyone else involved.

—BG
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We are most grateful for the extraordinary skill and care you demonstrated when performing surgery last week. We are pleased beyond measure with your expertise.

—GT
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