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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Thanks for being so kind to me during my recent surgery. You are beautiful people.  With love and best wishes.

—BC
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Thank you so much for your kindness and compassion during my surgery visit.  I had heard only good things about your office and I was very pleased with the ‘personal’ touch you show your patients.

—W
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A very relaxed and comfortable procedure. I was treated in a very kindly and gentle manner which made the whole process very comfortable. I am having a speedy recovery showing good care and a successful procedure.

—KB
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Merry Christmas and a Happy Holiday to you!  I thank you so much for your thoughts, prayers, and wonderful cards. There is not another doctor like that. You care! That is wonderful.

—SH (after Mohs surgery)
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Thank you for sharing with our Young-At-Heart group. We gained much knowledge from your informative presentation. Your enthusiasm and individual attention will stay with us a long time. The ladies are using the cream and they are praising it highly. Thanks again for giving your time to talk to us.

—CY
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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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I was treated with utmost respect from all the nurses and staff. My nurse was excellent. She knew what she was doing. Dr. Dhir made me feel relaxed and confident that he would take care of me. I appreciate everything they did for me.

—NS
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The lovely ladies at the front desk could not be more accommodating.  They make you feel comfortable and they're so pleasant!  Your surgical assistant was so incredibly professional, but warm and friendly.

—JM
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I am truly blessed to have you in my life. Thank you so much for your special attention.

—AS
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Looking back on 2003, my family and I have faced many stressful and trying times traveling back and forth from doctor's office to office.  We are very fortunate to have such a caring doctor along with staff who are always willing to help in anyway possible. Thank you and your staff for not giving up and traveling down this long, hard road with me. You have always been straight up and honest with me and had my best interest in mind, not many doctors are like that and take things as personal.

—PE