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

quote icon

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
quote icon

I would like to thank you for the kindness you showed my wife in taking care of the scarring on her face.

—FS
quote icon

The word "courteous" carries an image by which I can think of my happy experience. I was treated as if I were a royal personage, an honored guest at the court of a king. The king’s royal physician performed the surgery! Please accept my thanks, Dr. Anir Dhir, for this memorable experience.

—W
quote icon

My contact with your office with questions about the procedure was greeted with full explanations and a courteous spirit.  Warmth without professionalism leaves one uncertain; professionalism without warmth leaves one uncomfortable. Gladly, you and your staff combined both warmth and professionalism.

—S
quote icon

Special thanks for performing surgery on my face recently .  I appreciate all the discipline, experience, and education you have invested over the years in order to become an excellent surgeon.  You are really serving the public well and saving lives as you go.  Congratulations to you and your fine firm.

—JM
quote icon

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
quote icon

Thank you for the very professional and personal care you and your staff provided me yesterday. No one looks forward to surgery of any kind. But your manner and clarity of explanations help to set me at ease. Your staff was very warm, very caring, yet very professional. They explained each part of the process, leaving no uncertainties in my mind about what to expect next. It was very assuring as we moved through the procedure.

—S
quote icon

quote icon

I want to let you know what a wonderful staff I think you have!  From the girls at the desk to your nurses.  They made my first visit a pleasure.  Thanks again.

—LS
quote icon

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

—CM