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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Doctor Dhir and staff, I appreciated the high level of professional and personal care. Explanation of treatment, pathology, and care was thorough, appropriate, and excellently delivered. Thanks!

—DK
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Thank you for the excellent care I received on my visit from you and your staff…By the end of week two, you cannot tell where the surgery site was.

—RH
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I just wanted to thank you for taking such good care of my mother through two separate procedures. You have a kind and calming manner that is very rare today in the medical field, especially with the elderly, the ones that need it the most. And it is very much appreciated. Thank you again. May God bless you and your family.

—DB
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Just a brief note to express my satisfaction with the outcome of the surgery thus far. I appreciated you taking time out of your busy schedule to answer my questions. Also, I want to compliment your staff because they're so courteous whenever I call and they're so helpful. I recommended you highly to a friend who is now considering surgery on her face. She sees a doctor at UK but I said she should consider using your services. In short, I'm glad I put my face in your hands.

—CS
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I would like to thank you for the kindness you showed my wife in taking care of the scarring on her face.

—FS
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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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I have been reflecting on the minor basal cell surgery that you performed on me yesterday.  I am extremely pleased with the professionalism and expertise of you and your staff, and the quality of your facilities.  I will gladly recommend you and your facility to my family and friends.  Again, thank you for helping me to feel comfortable and reassured during the stressful time.

—DF
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Dr. Dhir and Dani, can't truly express my appreciation of your skill and wonderful care during my recent Mohs experience.  I so appreciate how I was treated by you both.

—BC
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Dr. Dhir, I couldn't have asked for a better outcome.  Your skills, as well as that ever-important bedside manner are unparalleled.  Thank you all again!

—MH (nurse practitioner)