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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While it's never fun to have surgery, the staff at Arizona Mohs Surgery make it the best possible experience.  I hope that I'm forever cancer free but if I have to have more surgery, thanks to your team, I won't go into it with fear and trepidation.

—BG
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I know you don't remember me, but you removed a skin cancer from the side of my nose. I jokingly asked you to make me beautiful.  My nose looks wonderful!  You have to look very carefully to see you incision. I am very happy and pleased with my nose. You and your staff treated me with so much care. I really appreciate it. Something that was so scary to me was handled so that I felt reassured and comfortable. Thank you for your care of me.  Affectionately, your patient.

—EKS
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Thank you so much for your care & skills & kindness.

—MPS & CS
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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
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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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I guess that is what makes your so special. And for all the phone calls you have made, checking on me after surgeries, that means the world to me. I just hope you and your staff realize how special you are to me and my family. Without you, this journey might not have lasted this long. Thanks for everything in helping me fight this disease.

—PE (after four years of multiple Mohs surgeries for organ transplant-related skin cancers)
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You pros did a dandy job on my surgery this month:  no pain, no bleeding, no scar, no bad news. :-)

—TK
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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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Thank you for making my unpleasant situation less stressful and not so unpleasant. God Bless You!

—SM