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 for taking such personal care of me. I appreciate all the consideration I was given, the organization, and the promptness of my treatment and your checking on me.

—SS
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Obviously, every detail has been addressed in the design of your facility...richly enhanced by VERY skilled hands & friendly faces!  Happy to say, the surgical site is healing beautifully...beyond expectations.  I recommend your practice at every opportunity.

—BK
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Thanks again for your patience with your patients.

—BM
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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 for the Dermabrasion. My nose looks 100% better. You are the BEST doctor I know, and Theresa you are by far the best nurse I ever seen. Thank you for being so thoughtful and making me feel special. I just can't say enough about you two.  Thank you.

—TD (following Mohs surgery for facial skin cancer and dermabrasion of nose)
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Doctor, thank you for being so kind and so good at your work.

—BC
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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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You are truly a miracle worker! Thank you so very much for taking such good care of GW. We appreciate all of you so much.

—JB
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Thanks for being so kind to me during my recent surgery. You are beautiful people.  With love and best wishes.

—BC
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I would like to thank Dr. Dhir who is as good as it gets in giving patient care. In this day and time when health care is criticized for various reasons, it is very refreshing to have an organization such as yours doing it the right way. Since my experience with your people, I feel very good about health care and will let others know that you are not only dedicated to your craft but are also dedicated to your patients. Thank you again for making this a very pleasant experience.

—WY