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 have been absolutely wonderful during this surgery. Thanks so much for your genuine concern and kindness. All of us have been so impressed with your medical expertise, as well as your sincere (and almost forgotten) love for your profession and your patients. You truly are the epitome of a great physician—one to be highly recommended, respected, and recognized. Thanks so much for a job well done and for treating your patients as people, not simply a paycheck.

—RS
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Obviously, every detail has been addressed in the design of your facility...richly enhanced by VERY skilled hands & friendly faces!  Happy to say, the surgical site is healing beautifully...beyond expectations.  I recommend your practice at every opportunity.

—BK
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Dr. Dhir and Jackie, I am blessed to have you be my Mohs team!  Thank you!

—DF
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Just want you to know how pleased I was with the exceptional care received.  Never in my 84 years have I felt so comfortable in a medical setting!

—EK
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Thank you so much for the great job that you did for me. I greatly appreciate all that you are and all that you do. Your staff was wonderful and I was impressed with your care, humor, and confidence and of course your skills. I felt very comfortable and in great hands.

—MH
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It is a miracle to look at Gordon and not see the large, red, and very irritating sores that were there. Dr. Dhir did the surgeries…I thank God and Dr. Dhir and his assistants for their most patient, kind, and loving treatment of Gordon. He is a special person and I know God has helped us to get this far with his recovery from a most dramatic period in his life.

—The Central Record (newspaper column), October 26, 2006
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Thank you so much for your excellent surgery. The friendliness of your staff and you made the surgery very easy and relaxed for me, and I do appreciate it.

—SH
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I just wanted to let you know how much your kindness touched my heart. Thank you!

—NS
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Thank you so much for your excellent medical care, and the special kindness given to us by the office staff.

—MJ and LAJ