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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I was treated with utmost respect from all the nurses and staff. My nurse was excellent. She knew what she was doing. Dr. Dhir made me feel relaxed and confident that he would take care of me. I appreciate everything they did for me.

—NS
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I am truly blessed to have you in my life. Thank you so much for your special attention.

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

—CM
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Thank you all for being so kind, compassionate, and caring.

—PR
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Just a quick note to express my sincere gratitude to you and the rest of your staff for the attention I was shown during my last surgical visit. It is not in my genetic makeup to make a practice of writing these types of letters, but the compassion, enthusiasm, reassurance, and medical expertise shown by you and your staff more than warrant it.

—MW
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Thank you so much! Sorry I cried. I get hormonal sometimes! You all were great and I appreciate everything you did for me!

—MW
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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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Doctor, thank you for being so kind and so good at your work.

—BC
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You are all so kind & caring!  Thank you, Thank you!

—CW
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Looking back on 2003, my family and I have faced many stressful and trying times traveling back and forth from doctor's office to office.  We are very fortunate to have such a caring doctor along with staff who are always willing to help in anyway possible. Thank you and your staff for not giving up and traveling down this long, hard road with me. You have always been straight up and honest with me and had my best interest in mind, not many doctors are like that and take things as personal.

—PE