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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Please thank Jackie, Blanca, and Lindsay who were always so helpful and kind to me and my husband.  I thank you for being you!

—MS
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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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Thank you for all your kind service, your happy smiles and care.  Enjoy the sweets that are as sweet as all of you. 

—BR and PR
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I know you don't remember me, but you removed a skin cancer from the side of my nose. I jokingly asked you to make me beautiful.  My nose looks wonderful!  You have to look very carefully to see you incision. I am very happy and pleased with my nose. You and your staff treated me with so much care. I really appreciate it. Something that was so scary to me was handled so that I felt reassured and comfortable. Thank you for your care of me.  Affectionately, your patient.

—EKS
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Thank you so much for being so nice to me and for doing such a great job during my surgery!  Sorry I cried, but I was scared beyond words. I appreciate your professionalism and expertise!

—DK
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Thank you for the wonderful care you provided for me in the past weeks. I so appreciate you and value your friendship of the many past years. You are truly a great professional who's caring and skills is beyond compare.

—C
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I wanted to take a few minutes to again thank you for the amazing job of cancer removal and ear reconstruction.  The work that you and your team did is amazing.

—LD
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Thank you for a successful Mohs surgery. I was very confident in your abilities and it was a pleasure to meet you.

—KR
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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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Best medical experience ever had.  Thanks, Doc. 

—CH