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! Sorry I cried. I get hormonal sometimes! You all were great and I appreciate everything you did for me!

—MW
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Thank you for the opportunity to work here and all that I have learned. Thank you for always standing up for what is right and for always defending the employees. I appreciate that very much! I wish you all the best!

—MS
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I feel like the luckiest person on earth that I was sent to you.  You have the lightest touch while working, but the determination to get things right like a 5 Star General.  You are rare.

—JM
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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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This older man greatly appreciates your excellent care and kind attention. Thank you so much.

—J
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Thanks for your friendly service provided by your staff and the best and most efficient healthcare from the heart of one of the most prestigious physicians in Dermatology.

—KR
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Your staff is amazing, so professional, caring, and kind.  Should you ever find yourself in Maine during the Summer, I'd like to treat you to a lobster dinner.  Thank you again for your amazing work.

—LD
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My contact with your office with questions about the procedure was greeted with full explanations and a courteous spirit.  Warmth without professionalism leaves one uncertain; professionalism without warmth leaves one uncomfortable. Gladly, you and your staff combined both warmth and professionalism.

—S
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We had a very positive experience at AZ Mohs Surgery. From Nathalie & good directions, kind eyes Lindsay’s reception, to beautiful Blanca’s good natured pre surgery banter and Dr. Dhir’s surgery – all went well and we appreciated our very fine treatment.

—JD
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I just wanted to let you know how much I appreciate the care, concern, and compassion you showed me yesterday when I was in for surgery. Thanks so much for explaining everything to me and for being so thorough. You have a wonderful manner about you and you really set my mind at ease. Your willingness to allow me to call you at home put you over the top! I have great respect for you and will not hesitate referring others to you. Thank you again for sharing your gifts with me.

—MAE