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

quote icon

Just wanted to send you a little note of thanks for being so kind and thoughtful when I had my minor surgery on Friday. It was so nice of you to call me after the surgery to see how I was feeling. I don't think I have ever had a doctor do that and it made me feel good. Thanks again.

—JT
quote icon

Thank you so much for being so nice to me and for doing such a great job during my surgery!  Sorry I cried, but I was scared beyond words. I appreciate your professionalism and expertise!

—DK
quote icon

Thank you for all your kind service, your happy smiles and care.  Enjoy the sweets that are as sweet as all of you. 

—BR and PR
quote icon

I would like to thank you for the kindness you showed my wife in taking care of the scarring on her face.

—FS
quote icon

Thank you all for being so kind, compassionate, and caring.

—PR
quote icon

I want to let you know what a wonderful staff I think you have!  From the girls at the desk to your nurses.  They made my first visit a pleasure.  Thanks again.

—LS
quote icon

How can I possibly explain how much you have meant to us. When you took the Hippocratic Oath, it must have had an addendum that covered care and compassion. You are truly special and I feel so blessed to know you.

—SS
quote icon

A note of thanks to you and your whole team.  I can't thank you enough for making my Mohs surgery easy, pain free, and thorough.  Again, many thanks!

—AO
quote icon

Thank you, Lindsay, for the warm welcome.  Thank you Blanca and Dr. Dhir for your professionalism and skills, and everyone else involved.

—BG
quote icon

I am very grateful for the care and skill that has eliminated my cancer. Just as you said, it's been 6 months and there is very, very little marking and no numbness. I am very pleased with the results. Thank you.

—SS