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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A very relaxed and comfortable procedure. I was treated in a very kindly and gentle manner which made the whole process very comfortable. I am having a speedy recovery showing good care and a successful procedure.

—KB
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Your staff is amazing, so professional, caring, and kind.  Should you ever find yourself in Maine during the Summer, I'd like to treat you to a lobster dinner.  Thank you again for your amazing work.

—LD
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We both want to thank you and your "cohorts"-not only for the surgery well done-but the sensitivity and thoughtfulness you provided. Thank you.

—MC
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I just want to thank you for the good job you did on my nose and I appreciate your kind, sweet staff. I am so glad God put me in your hands. Keep up the good work.

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

—CH
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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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I wanted to send you a huge thank you for all the work you did after my surgery.  As you can see, the scar is not visible at all!  This was a picture from our wedding day and I thought you might enjoy seeing the end result of all of it!  Thanks again for taking such excellent care of me and my face!

—T