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

quote icon

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
quote icon

I've been searching for the right situation to use this thank you card for a long time. Can't think of a more appropriate time than now to express my sincere gratitude for your willingness to help me achieve admired post surgical appearance results.

—GF
quote icon

I don't know anyone who says, "I'm so happy I'm going to the doctor today". However, your staff did an excellent job of making me very comfortable. I know I'm not the only patient and your call was appreciated. It brought back memories of my childhood and our family doctor. You are a good doctor and I would recommend your facility to anyone. I spent a lot of time with your staff and they support you with kindness and compassion.  You made it an experience I can remember with fondness.

—AS
quote icon

Dr. Dhir and staff were great. We appreciate everyone for their help and kindness we were shown.

—WA
quote icon

I just wanted to thank you for your call Friday after my neck surgery. I greatly appreciate your concern. Even though skin cancer is considered to have a high cure rate, it is upsetting to find out that you have any kind of cancer. You and your wonderful staff have made a difficult situation easier to understand and cope with.

—LC
quote icon

Thank you for the opportunity to spend time in your practice learning about Mohs surgery and more particularly the art of reconstruction. I sincerely appreciate that you tailored your teaching to my future plans. You are the only professor to have done that so far. This week has given me a great deal of insight into future standards for appropriate skin cancer treatment and management. I look forward to a day when I will be honored to call you a colleague.

—MN, Medical Student
quote icon

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

—DF
quote icon

quote icon

I want to thank you for your superb professionalism, kindness, and huge heart.  You made my experience through the Mohs Surgery bearable, you explained in detail what to expect, and you calmed my racing heart. It took 3 attempts to achieve clear margins and while I was waiting, the staff was nothing but excellent, caring, and reassuring.  You have an A Class Facility.

—NH
quote icon

Thank you very much for everything you done for me. Also thanks too to your staff for everything they did. Without you all removing my skin cancer for me with the ways things are I don't know what I would have done.  Thank you.

—CF