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 quick note to express my sincere gratitude to you and the rest of your staff for the attention I was shown during my last surgical visit. It is not in my genetic makeup to make a practice of writing these types of letters, but the compassion, enthusiasm, reassurance, and medical expertise shown by you and your staff more than warrant it.

—MW
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Doctor Dhir and staff, I appreciated the high level of professional and personal care. Explanation of treatment, pathology, and care was thorough, appropriate, and excellently delivered. Thanks!

—DK
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The concern and compassion shown during my surgery will be forever appreciated.

—AK
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Thank you for all your care and concern and all your patience and time you used on me. You and your staff were wonderful. God bless you.

—DC
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I want to thank you for the professional way you handled my surgery. In the last ten years, I have had ten surgeries but I have never been treated with more professional, kind, and courteous service as I received from you and your staff. You took your time to explain all procedures and what I could expect from you. Thanks a million and I wish you continued success in your practice. I'm sure you will be able to make a lot of people happy. Keep up the good work. Your happy patient.

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

—DF
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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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I just want to thank all of you for being so nice to me and treating me really good.  It’s people like you all that make life worth living and make people want to go on.  Again, thank you for everything you done for me.  I will never forget your kindness.  Love all of you so much.  Thank you!

—KR
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Thank you for making my unpleasant situation less stressful and not so unpleasant. God Bless You!

—SM