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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Special thanks for performing surgery on my face recently .  I appreciate all the discipline, experience, and education you have invested over the years in order to become an excellent surgeon.  You are really serving the public well and saving lives as you go.  Congratulations to you and your fine firm.

—JM
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I just wanted to thank you for being so great to work with during my treatments. It is great to be able to talk with someone so knowledgeable and understanding. I'll keep you posted on everything.  Thanks again

—JR
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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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Just a note to thank you for being so diligent in your pursuit of skin cancer. Because you caution 'on the safe side', you were able to detect my basal cell (carcinoma) very early. I also want to thank you for referring me to Dr.  Dhir. He was a dear! Thanks again for your care!

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

—DF
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Very professional, caring people. Will recommend to others.

—GR