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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Just a note to thank you for my surgery. The graft has taken well and it seems to be healing nicely. Since I was diagnosed with myeloma and lymphoma, I have been treated by a number of doctors and surgeons. You have been one of the very best. You were friendly, took time to explain things in easy-to-understand terms. You are a very skilled surgeon. I was treated more as a friend, not just another number. It's never fun to go to doctors, but you make it as enjoyable as possible. Thanks.

—PS
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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
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A note of thanks to you and your whole team.  I can't thank you enough for making my Mohs surgery easy, pain free, and thorough.  Again, many thanks!

—AO
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When it comes to being a great doctor, you more than fill the prescription. I'm so very fortunate to have you for my dermatologist.

—TO
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Thank you so very much for taking such exceptional care of me. I was quite nervous being on the other side of the surgery. You completely put my mind at ease.

—HM
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Thank you, Lindsay, for the warm welcome.  Thank you Blanca and Dr. Dhir for your professionalism and skills, and everyone else involved.

—BG
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You have such value!! Thank you for using the gifts that God gave you to bring health, healing and happiness to other people!  His cheek is all healed and you cannot see the incision.  Wow!  What a great job you did!

—C & R
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Everyone was very nice to me. I would recommend the Surgery Center to anyone.

—Anonymous
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Thank you for the excellent care I received on my visit from you and your staff…By the end of week two, you cannot tell where the surgery site was.

—RH
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