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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Your husband is a super surgeon! Also a super person! The entire office is very super! My experience there has been wonderful. I appreciate all the knowledge and friendly atmosphere.

—NT
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It has been a little over a week since my last subcision procedure and things are going and looking great! I want you to know how much I greatly appreciate your help, kindness, and concern. You are one of the few doctors who leaves you with the pleasing impression that they honestly care about their patients.

—FG
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Thank you for the excellent care I received on my visit from you and your staff…By the end of week two, you cannot tell where the surgery site was.

—RH
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Just a note to thank you for being so diligent in your pursuit of skin cancer. Because you caution 'on the safe side', you were able to detect my basal cell (carcinoma) very early. I also want to thank you for referring me to Dr.  Dhir. He was a dear! Thanks again for your care!

—ME
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Thank you for all your help. I also wanted to compliment you on your kindness and great attention to detail. You always make time to talk and made me feel at ease through a tense procedure. I have been to many doctors in my life and would rate you as the best I have ever known. Your attentiveness, compassion, and ability are without any possible reproach. I can actually say I looked forward to my doctor visits rather than avoided them. I wish you continued success.  Thank you truly.

—TN
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Just wanted to say thanks, even though very late, for the excellent procedure you did on my face (left side).  It is practically invisible.

—TB
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I just wanted to drop you all a note to say thanks for the treatment I received in your office this week. I was very pleasantly surprised to have everything run as smooth as it did. Also, the follow-up call that evening was appreciated. You all are to be commended on your professionalism and concern.

—BW
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I have worked at a hospital for ten years so I have a real insight to health care facilities. The minute I walked in your door for surgery, the better I felt. I would rate my experience with your staff as outstanding. The people who work at your facility are very good at what they do. I was treated by smiling, friendly faces who loved their job and love their patients. The whole staff were very professional but most importantly were very concerned and caring towards me as their patient.

—WY
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I wanted to say thank you to you & your staff for the successful removal of the BCC from my forehead.  The wound healed nicely & is not noticeable.  I appreciated how you shared in advance the details on how you perform Mohs surgery.  I enjoyed you sharing your interest in sports cars and racing.

—BB