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 very much for taking incredible care of my dad. I really appreciate it. I can't thank you enough for all you have done.

—SS
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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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When it comes to being a great doctor, you more than fill the prescription. I'm so very fortunate to have you for my dermatologist.

—TO
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I just wanted to drop you a line to tell you how happy I am concerning the care you gave me.  I tend to be quite critical of everything from medical service to cereal box design.  I even rate things on the traditional A to F scale.  I have never rated anything an A plus but Mohs broke through!

—JO
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I want to thank you for your kindness during my surgery! You and your staff are the best!

—PN
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Thank you so much for the great job that you did for me. I greatly appreciate all that you are and all that you do. Your staff was wonderful and I was impressed with your care, humor, and confidence and of course your skills. I felt very comfortable and in great hands.

—MH
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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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Fred so enjoyed visiting with you.  He thought you all were pretty spectacular.

—FB
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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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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