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 wanted to send you a huge thank you for all the work you did after my surgery.  As you can see, the scar is not visible at all!  This was a picture from our wedding day and I thought you might enjoy seeing the end result of all of it!  Thanks again for taking such excellent care of me and my face!

—T
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Thank you Dr. Dhir for taking good care of me.  I am healing nicely!  You are a great surgeon.  So kind and thoughtful.  I highly recommend you to anyone and your staff. 

—RM
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Thank you for the opportunity to work here and all that I have learned. Thank you for always standing up for what is right and for always defending the employees. I appreciate that very much! I wish you all the best!

—MS
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You are truly a miracle worker! Thank you so very much for taking such good care of GW. We appreciate all of you so much.

—JB
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Wanted to say thank you for what you did on my behalf.  I could see why you were voted one of the Best Doctors.  You're kind, considerate, thoughtful, and make your patients comfortable.

—LS
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Thank you so very much for the tender care given me for my surgery, and to call to check on me was so very thoughtful and kind. To check on me the night of surgery and then the next morning!! Thank you so very much.

—JS
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Thank you for the surgery on my right eye area + the kind + wonderful way you and your staff treated me.  I was upset for being late and you all made me so relaxed and welcome.  My sincere thanks.

—SM
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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
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AT is doing fine. I just wanted to thank you for all your kindness. You were super in my eyes. We will never forget you all. God Bless you all.

—OT