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 very much for taking incredible care of my dad. I really appreciate it. I can't thank you enough for all you have done.

—SS
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I just wanted to thank you for your call Friday after my neck surgery. I greatly appreciate your concern. Even though skin cancer is considered to have a high cure rate, it is upsetting to find out that you have any kind of cancer. You and your wonderful staff have made a difficult situation easier to understand and cope with.

—LC
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Thank you for the opportunity to spend time in your practice learning about Mohs surgery and more particularly the art of reconstruction. I sincerely appreciate that you tailored your teaching to my future plans. You are the only professor to have done that so far. This week has given me a great deal of insight into future standards for appropriate skin cancer treatment and management. I look forward to a day when I will be honored to call you a colleague.

—MN, Medical Student
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I thought I recognized Dr. Dhir and it turns out he had done 2 surgeries on me at HealthySkin in 2017. We meet again thankfully. We also appreciated your air filter system and how cool your office is decorated. Very restful colors.

—JD
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Thank you for your kindness during my recent visit for my surgery.  It was a pleasure to have doctors who care.  Thanks again.

—N
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I just wanted to tell you again what a wonderful job you did on my face. As you said it would, each month it gets better and better. If you did not know me, you would never notice it. I am sending this picture so you can see for yourself. Maybe you can put in my file next to the ones that I look beat up in. Ha. Anyway, I really appreciate all of you, not only the great work you do but the care and kindness you showed me. It meant more than you will ever know. Love,

—KL
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Thank you so much for sharing your talents with me the last couple of years. You have been so kind and you can't imagine what a difference you have made in my life. You are a wonderful doctor!

—PB