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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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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It is a miracle to look at Gordon and not see the large, red, and very irritating sores that were there. Dr. Dhir did the surgeries…I thank God and Dr. Dhir and his assistants for their most patient, kind, and loving treatment of Gordon. He is a special person and I know God has helped us to get this far with his recovery from a most dramatic period in his life.

—The Central Record (newspaper column), October 26, 2006
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Dr. Dhir, you have a special gift that I'm blessed to have been a recipient of, and I want to thank you from the bottom of my heart for what you do and I hope you'll be around a long time to share that gift.

—NH
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You are truly a miracle worker! Thank you so very much for taking such good care of GW. We appreciate all of you so much.

—JB
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Doctor, thank you for being so kind and so good at your work.

—BC
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Thanks again for your patience with your patients.

—BM
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Dr. Dhir, Wanted to show my appreciation for the excellent care I received last month!  Thank you so much!!!

—JS
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Wanted to say thank you for what you did on my behalf.  I could see why you were voted one of the Best Doctors.  You're kind, considerate, thoughtful, and make your patients comfortable.

—LS
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I'm doing great and my nose is beautiful, thanks to you! A great job!

—CM
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Thank you for the excellent care I received on my visit from you and your staff…By the end of week two, you cannot tell where the surgery site was.

—RH