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 such exceptional care of me. I was quite nervous being on the other side of the surgery. You completely put my mind at ease.

—HM
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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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Everyone was very nice to me. I would recommend the Surgery Center to anyone.

—Anonymous
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I know you don't remember me, but you removed a skin cancer from the side of my nose. I jokingly asked you to make me beautiful.  My nose looks wonderful!  You have to look very carefully to see you incision. I am very happy and pleased with my nose. You and your staff treated me with so much care. I really appreciate it. Something that was so scary to me was handled so that I felt reassured and comfortable. Thank you for your care of me.  Affectionately, your patient.

—EKS
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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 so much for your excellent medical care, and the special kindness given to us by the office staff.

—MJ and LAJ
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Very professional, caring people. Will recommend to others.

—GR
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We both want to thank you and your "cohorts"-not only for the surgery well done-but the sensitivity and thoughtfulness you provided. Thank you.

—MC
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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