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

quote icon

Thank you for all your care and concern and all your patience and time you used on me. You and your staff were wonderful. God bless you.

—DC
quote icon

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
quote icon

I know you don't remember me, but you removed a skin cancer from the side of my nose. I jokingly asked you to make me beautiful.  My nose looks wonderful!  You have to look very carefully to see you incision. I am very happy and pleased with my nose. You and your staff treated me with so much care. I really appreciate it. Something that was so scary to me was handled so that I felt reassured and comfortable. Thank you for your care of me.  Affectionately, your patient.

—EKS
quote icon

quote icon

Thank you for the very professional and personal care you and your staff provided me yesterday. No one looks forward to surgery of any kind. But your manner and clarity of explanations help to set me at ease. Your staff was very warm, very caring, yet very professional. They explained each part of the process, leaving no uncertainties in my mind about what to expect next. It was very assuring as we moved through the procedure.

—S
quote icon

Thank you for taking good care of me. Mohs surgery is difficult. You all made it easier.

—TD
quote icon

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
quote icon

I just want to thank you for the good job you did on my nose and I appreciate your kind, sweet staff. I am so glad God put me in your hands. Keep up the good work.

—B
quote icon

Just want you to know how pleased I was with the exceptional care received.  Never in my 84 years have I felt so comfortable in a medical setting!

—EK
quote icon

Thank you all for being so kind, compassionate, and caring.

—PR