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 being so kind to me during my recent surgery. You are beautiful people.  With love and best wishes.

—BC
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I just wanted to drop you all a note to say thanks for the treatment I received in your office this week. I was very pleasantly surprised to have everything run as smooth as it did. Also, the follow-up call that evening was appreciated. You all are to be commended on your professionalism and concern.

—BW
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How can I possibly explain how much you have meant to us. When you took the Hippocratic Oath, it must have had an addendum that covered care and compassion. You are truly special and I feel so blessed to know you.

—SS
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You have been absolutely wonderful during this surgery. Thanks so much for your genuine concern and kindness. All of us have been so impressed with your medical expertise, as well as your sincere (and almost forgotten) love for your profession and your patients. You truly are the epitome of a great physician—one to be highly recommended, respected, and recognized. Thanks so much for a job well done and for treating your patients as people, not simply a paycheck.

—RS
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Thank you all for your care and expertise during our recent skin surgeries. Everything was really appreciated for our speedy recoveries.

—J&AE
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I wanted to thank you and your staff for taking such good care of me when I visited the surgery center. I was happy to be treated so kindly and really appreciate that your nurses went out of their way to make me comfortable and help accommodate me with my modesty / religious preferences. Thank you.

—A
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Just want you to know how pleased I was with the exceptional care received.  Never in my 84 years have I felt so comfortable in a medical setting!

—EK
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It is a miracle to look at Gordon and not see the large, red, and very irritating sores that were there. Dr. Dhir did the surgeries…I thank God and Dr. Dhir and his assistants for their most patient, kind, and loving treatment of Gordon. He is a special person and I know God has helped us to get this far with his recovery from a most dramatic period in his life.

—The Central Record (newspaper column), October 26, 2006
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I have worked at a hospital for ten years so I have a real insight to health care facilities. The minute I walked in your door for surgery, the better I felt. I would rate my experience with your staff as outstanding. The people who work at your facility are very good at what they do. I was treated by smiling, friendly faces who loved their job and love their patients. The whole staff were very professional but most importantly were very concerned and caring towards me as their patient.

—WY