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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Thank you for sharing with our Young-At-Heart group. We gained much knowledge from your informative presentation. Your enthusiasm and individual attention will stay with us a long time. The ladies are using the cream and they are praising it highly. Thanks again for giving your time to talk to us.

—CY
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Your husband is a super surgeon! Also a super person! The entire office is very super! My experience there has been wonderful. I appreciate all the knowledge and friendly atmosphere.

—NT
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Thank you for your thoughtfulness and compassion from the moment we met.  I am very fortunate to have you as my Doctor and Surgeon.

—JM
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Thank you for all your help. I also wanted to compliment you on your kindness and great attention to detail. You always make time to talk and made me feel at ease through a tense procedure. I have been to many doctors in my life and would rate you as the best I have ever known. Your attentiveness, compassion, and ability are without any possible reproach. I can actually say I looked forward to my doctor visits rather than avoided them. I wish you continued success.  Thank you truly.

—TN
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Your staff is amazing, so professional, caring, and kind.  Should you ever find yourself in Maine during the Summer, I'd like to treat you to a lobster dinner.  Thank you again for your amazing work.

—LD
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I just wanted to let you know how much I appreciate the care, concern, and compassion you showed me yesterday when I was in for surgery. Thanks so much for explaining everything to me and for being so thorough. You have a wonderful manner about you and you really set my mind at ease. Your willingness to allow me to call you at home put you over the top! I have great respect for you and will not hesitate referring others to you. Thank you again for sharing your gifts with me.

—MAE
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We just wanted to say thank you - not only for your professionalism and expert care - but for your compassion. I've never been blessed with a more competent physician and as you know, we've seen our share. There will be a special place in heaven for you but just know for now that there are people that owe your their life - but you already have our hearts! Bless you Doc! We love you!

—PJ and JJ
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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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A note of thanks to you and your whole team.  I can't thank you enough for making my Mohs surgery easy, pain free, and thorough.  Again, many thanks!

—AO
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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)