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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Thanks for the advice you gave me to have the mole removed. I am thankful to God for the knowledge he has given you to know how to help people! Thanks again.

—JAC
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Please thank Jackie, Blanca, and Lindsay who were always so helpful and kind to me and my husband.  I thank you for being you!

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

—FS
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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 for the Dermabrasion. My nose looks 100% better. You are the BEST doctor I know, and Theresa you are by far the best nurse I ever seen. Thank you for being so thoughtful and making me feel special. I just can't say enough about you two.  Thank you.

—TD (following Mohs surgery for facial skin cancer and dermabrasion of nose)
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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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