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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Just a note to thank you for my surgery. The graft has taken well and it seems to be healing nicely. Since I was diagnosed with myeloma and lymphoma, I have been treated by a number of doctors and surgeons. You have been one of the very best. You were friendly, took time to explain things in easy-to-understand terms. You are a very skilled surgeon. I was treated more as a friend, not just another number. It's never fun to go to doctors, but you make it as enjoyable as possible. Thanks.

—PS
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I wish to thank the staff for being so nice, kind, and patient with me.  All were just great! 

—RM
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Just wanted to send you a little note of thanks for being so kind and thoughtful when I had my minor surgery on Friday. It was so nice of you to call me after the surgery to see how I was feeling. I don't think I have ever had a doctor do that and it made me feel good. Thanks again.

—JT
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Dr. Dhir and Jackie, I am blessed to have you be my Mohs team!  Thank you!

—DF
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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
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Dr. Dhir, Wanted to show my appreciation for the excellent care I received last month!  Thank you so much!!!

—JS
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We had a very positive experience at AZ Mohs Surgery. From Nathalie & good directions, kind eyes Lindsay’s reception, to beautiful Blanca’s good natured pre surgery banter and Dr. Dhir’s surgery – all went well and we appreciated our very fine treatment.

—JD
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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