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 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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Thank you Dr. Dhir for taking good care of me.  I am healing nicely!  You are a great surgeon.  So kind and thoughtful.  I highly recommend you to anyone and your staff. 

—RM
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Words can never convey the depth of our gratitude in the treatment of our mother. Going the extra mile with follow-up phone calls and the prayers were greatly appreciated to relieve our fears and concerns. The kindness and compassion that was shown to her and even to us was so deeply felt. Thank you and your staff for everything.

—BB
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Your concern, compassion, and confidence helped get me through some trying times. You and your professional staff were fantastic. All I can say is Thanks!! You guys are a class act!!

—EH
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I'm doing great and my nose is beautiful, thanks to you! A great job!

—CM
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Dr. Dhir, Erika, & Lindsay, The surgery site on my forehead healed quickly, with no aches, pain, or scarring.  You did great.  :-)  Your "fun" attitude makes my visits a breeze.  Thanks Much!!

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

—Anonymous
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I just wanted to let you know how much I appreciate all you've done for me. Since my birthmark is gone, I feel like a new person. I can't stop looking at myself. You and your staff have been so wonderful to me. I just wanted to let you know how much it means to me to have gotten to know all of you. Thanks.

—HS (following three staged surgeries to remove a giant birthmark measuring 8 x 6 inches on the left breast)
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I just wanted to thank you for taking such good care of my mother through two separate procedures. You have a kind and calming manner that is very rare today in the medical field, especially with the elderly, the ones that need it the most. And it is very much appreciated. Thank you again. May God bless you and your family.

—DB