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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My contact with your office with questions about the procedure was greeted with full explanations and a courteous spirit.  Warmth without professionalism leaves one uncertain; professionalism without warmth leaves one uncomfortable. Gladly, you and your staff combined both warmth and professionalism.

—S
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Dr. Dhir, I couldn't have asked for a better outcome.  Your skills, as well as that ever-important bedside manner are unparalleled.  Thank you all again!

—MH (nurse practitioner)
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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
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We are most grateful for the extraordinary skill and care you demonstrated when performing surgery last week. We are pleased beyond measure with your expertise.

—GT
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This older man greatly appreciates your excellent care and kind attention. Thank you so much.

—J
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Thank you for making my unpleasant situation less stressful and not so unpleasant. God Bless You!

—SM
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Thank you for taking good care of me. Mohs surgery is difficult. You all made it easier.

—TD
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Thank you so much for the wonderful care you and your staff gave me. The removal of my skin cancer was a breeze. I appreciated the straightforward information and genuine care. I hope dealing with my insurance is not too big of a headache for your staff. I am thankful they were willing to go an extra mile to get my visits approved. If I am lucky, my employer will realize you are the best choice for their dermatology services. That way, I can continue to have the excellent care you give.

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

—Anonymous