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 wanted to say thanks, even though very late, for the excellent procedure you did on my face (left side).  It is practically invisible.

—TB
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I just wanted to tell you again what a wonderful job you did on my face. As you said it would, each month it gets better and better. If you did not know me, you would never notice it. I am sending this picture so you can see for yourself. Maybe you can put in my file next to the ones that I look beat up in. Ha. Anyway, I really appreciate all of you, not only the great work you do but the care and kindness you showed me. It meant more than you will ever know. Love,

—KL
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Everyone was extremely pleasant and helpful. All procedures were explained in detail which made the experience comforting. This is a wonderful group.

—Anonymous
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Dr. Dhir, you have a special gift that I'm blessed to have been a recipient of, and I want to thank you from the bottom of my heart for what you do and I hope you'll be around a long time to share that gift.

—NH
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Best medical experience ever had.  Thanks, Doc. 

—CH
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Thank you for allowing me to observe your surgeries and 'talking shop' through the procedures for my benefit. Your sincere concern for your patients' comfort, as exhibited by your extraordinary bedside manner, truly sets a new, higher level for me to strive toward. I will strive for the highest mark, and I appreciate your example and training.

—TB, Medical Student
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Thank you for taking patience with me and my hard of hearing problem. I also like your manner of "doctor to patient" attitude. I appreciate all you did and your patience with me. I know it's hard to talk to a person 88 years old and particularly nearly deaf but both me and my daughter appreciate your patience and service. If I have a problem, I'll see you and know it will be taken care of.

—BS
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We so appreciate the care & kindness you have given us.  We have told many friends about your wonderful staff & to have that large of staff & everyone being so awesome - amazing!

—DW
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I've been searching for the right situation to use this thank you card for a long time. Can't think of a more appropriate time than now to express my sincere gratitude for your willingness to help me achieve admired post surgical appearance results.

—GF