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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You are truly a miracle worker! Thank you so very much for taking such good care of GW. We appreciate all of you so much.

—JB
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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
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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
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I felt compelled to write you based on my superior care.  There is not a 'health grade' that is high enough to describe your caring of me.  I have had some excellent care in Tucson but your efforts are over the top of the others.

—TS
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While it's never fun to have surgery, the staff at Arizona Mohs Surgery make it the best possible experience.  I hope that I'm forever cancer free but if I have to have more surgery, thanks to your team, I won't go into it with fear and trepidation.

—BG
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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 just wanted to drop you a line to tell you how happy I am concerning the care you gave me.  I tend to be quite critical of everything from medical service to cereal box design.  I even rate things on the traditional A to F scale.  I have never rated anything an A plus but Mohs broke through!

—JO