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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Dr. Dhir & Staff, I really appreciate all your professional & caring treatment.  All well here.

—K
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I just wanted to let you know how much your kindness touched my heart. Thank you!

—NS
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Thank you so much! Sorry I cried. I get hormonal sometimes! You all were great and I appreciate everything you did for me!

—MW
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Just a brief note to express my satisfaction with the outcome of the surgery thus far. I appreciated you taking time out of your busy schedule to answer my questions. Also, I want to compliment your staff because they're so courteous whenever I call and they're so helpful. I recommended you highly to a friend who is now considering surgery on her face. She sees a doctor at UK but I said she should consider using your services. In short, I'm glad I put my face in your hands.

—CS
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The care that you and your staff showed me when I had my nose surgery was phenomenal. I have never been to a doctor’s office that showed so much compassion for his patient and your staff was fantastic, too!

—ML
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Your husband is a super surgeon! Also a super person! The entire office is very super! My experience there has been wonderful. I appreciate all the knowledge and friendly atmosphere.

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

—AK
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This older man greatly appreciates your excellent care and kind attention. Thank you so much.

—J
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I just want you to know how much it meant to me to see you at the visitation. What a class act you are! He really enjoyed the few times we were there, and he loved your nurse! After talking to many friends, I want you to know that you are highly thought of by your patients.

—LH