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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Dr. Dhir and Jackie, I am blessed to have you be my Mohs team!  Thank you!

—DF
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The concern and compassion shown during my surgery will be forever appreciated.

—AK
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Looking back on 2003, my family and I have faced many stressful and trying times traveling back and forth from doctor's office to office.  We are very fortunate to have such a caring doctor along with staff who are always willing to help in anyway possible. Thank you and your staff for not giving up and traveling down this long, hard road with me. You have always been straight up and honest with me and had my best interest in mind, not many doctors are like that and take things as personal.

—PE
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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 your thoughtfulness and compassion from the moment we met.  I am very fortunate to have you as my Doctor and Surgeon.

—JM
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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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Just wanted to drop you a note to let you know that I'm very pleased with the outcome and appreciative of your superb skill as a surgeon.

—SP
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Thank you so very much for the tender care given me for my surgery, and to call to check on me was so very thoughtful and kind. To check on me the night of surgery and then the next morning!! Thank you so very much.

—JS
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Thank you so much for your kindness and compassion during my surgery visit.  I had heard only good things about your office and I was very pleased with the ‘personal’ touch you show your patients.

—W
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I appreciate your generosity in allowing me to observe you at work.  This was very educational, and now I feel I can properly inform patients about the expected experience when undergoing Mohs surgery.  It is clear to me what an elegant, accurate, and effective method to excising skin cancers.  I am impressed with the way your clinic is run.  The nurses and staff are very professional and responsive to the patients which I’m sure they appreciate.  I hope to see you in the future!

—ENT Resident