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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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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People like you make the world a brighter place! Everyone that I've met at your office has been so very nice and kind. I just want you to know that I sincerely appreciate all of you! Thank you so very much.

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

—PR
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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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Dr. Dhir, Erika, & Lindsay, The surgery site on my forehead healed quickly, with no aches, pain, or scarring.  You did great.  :-)  Your "fun" attitude makes my visits a breeze.  Thanks Much!!

—TK
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Thank you for your kindness. I wish I could put into words what your thoughtfulness means to us. I am so amazed at the things you have done for my husband and myself that you didn't have to do. It is very greatly appreciated.

—JE
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Best medical experience ever had.  Thanks, Doc. 

—CH
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Thank you so much for sharing your talents with me the last couple of years. You have been so kind and you can't imagine what a difference you have made in my life. You are a wonderful doctor!

—PB
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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 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