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, 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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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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Thank you for all your care and concern and all your patience and time you used on me. You and your staff were wonderful. God bless you.

—DC
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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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I wanted to take this opportunity this opportunity to thank you all for taking care of me before, during, and after my Mohs surgery.  The customer service, compassion, and kindness of every single staff member was absolutely stellar and you should be incredibly proud of your dedication to the patient!

—MH (nurse practitioner)
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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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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 feel that my surgery experience was much more pleasant than I had expected because of your expertise along with your gentle, caring nature. You can't know how much that unexpected phone call meant to me.  Comments from family and friends have been that they cannot believe that it has been only a week since the surgery when they saw my forehead. I think they consider you a magician, too!! I hope I never need this type of surgery again but will not be concerned. Thank you.

—GC
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I just wanted to drop you all a note to say thanks for the treatment I received in your office this week. I was very pleasantly surprised to have everything run as smooth as it did. Also, the follow-up call that evening was appreciated. You all are to be commended on your professionalism and concern.

—BW