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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I have been reflecting on the minor basal cell surgery that you performed on me yesterday.  I am extremely pleased with the professionalism and expertise of you and your staff, and the quality of your facilities.  I will gladly recommend you and your facility to my family and friends.  Again, thank you for helping me to feel comfortable and reassured during the stressful time.

—DF
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Thank you for the surgery on my right eye area + the kind + wonderful way you and your staff treated me.  I was upset for being late and you all made me so relaxed and welcome.  My sincere thanks.

—SM
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Words can never convey the depth of our gratitude in the treatment of our mother. Going the extra mile with follow-up phone calls and the prayers were greatly appreciated to relieve our fears and concerns. The kindness and compassion that was shown to her and even to us was so deeply felt. Thank you and your staff for everything.

—BB
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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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I am very grateful for the care and skill that has eliminated my cancer. Just as you said, it's been 6 months and there is very, very little marking and no numbness. I am very pleased with the results. Thank you.

—SS
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Thank you for allowing me to observe your surgeries and 'talking shop' through the procedures for my benefit. Your sincere concern for your patients' comfort, as exhibited by your extraordinary bedside manner, truly sets a new, higher level for me to strive toward. I will strive for the highest mark, and I appreciate your example and training.

—TB, Medical Student
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Thank you for your kind and professional care!

—FS
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To you, my dear Dr. Dhir - your presence exudes experience and competence.  You have an incredible gift of being personable (no more than that - charming), real, yet focused with an incredible work ethic.

—JM
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Thank you all for being so kind, compassionate, and caring.

—PR
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I appreciate your generosity in allowing me to observe you at work.  This was very educational, and now I feel I can properly inform patients about the expected experience when undergoing Mohs surgery.  It is clear to me what an elegant, accurate, and effective method to excising skin cancers.  I am impressed with the way your clinic is run.  The nurses and staff are very professional and responsive to the patients which I’m sure they appreciate.  I hope to see you in the future!

—ENT Resident