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 wanted to take a few minutes to again thank you for the amazing job of cancer removal and ear reconstruction.  The work that you and your team did is amazing.

—LD
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You are truly exceptional.  As for your staff, I am most appreciative of their care also.  They welcomed me, treated me splendidly and kept me in an excellent state of mind.  I had no questions that they couldn't answer and their conduct built confidence in me.  Kudos to your entire organization.

—TLS
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It is a miracle to look at Gordon and not see the large, red, and very irritating sores that were there. Dr. Dhir did the surgeries…I thank God and Dr. Dhir and his assistants for their most patient, kind, and loving treatment of Gordon. He is a special person and I know God has helped us to get this far with his recovery from a most dramatic period in his life.

—The Central Record (newspaper column), October 26, 2006
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Dr. Dhir & Staff, I really appreciate all your professional & caring treatment.  All well here.

—K
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Just a note to thank you for my surgery. The graft has taken well and it seems to be healing nicely. Since I was diagnosed with myeloma and lymphoma, I have been treated by a number of doctors and surgeons. You have been one of the very best. You were friendly, took time to explain things in easy-to-understand terms. You are a very skilled surgeon. I was treated more as a friend, not just another number. It's never fun to go to doctors, but you make it as enjoyable as possible. Thanks.

—PS
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The lovely ladies at the front desk could not be more accommodating.  They make you feel comfortable and they're so pleasant!  Your surgical assistant was so incredibly professional, but warm and friendly.

—JM
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I wanted to take this opportunity this opportunity to thank you all for taking care of me before, during, and after my Mohs surgery.  The customer service, compassion, and kindness of every single staff member was absolutely stellar and you should be incredibly proud of your dedication to the patient!

—MH (nurse practitioner)
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Merry Christmas and a Happy Holiday to you!  I thank you so much for your thoughts, prayers, and wonderful cards. There is not another doctor like that. You care! That is wonderful.

—SH (after Mohs surgery)