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 the advice you gave me to have the mole removed. I am thankful to God for the knowledge he has given you to know how to help people! Thanks again.

—JAC
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Your patience, time, and care are greatly appreciated. I am so absolutely pleased with my leg that now each and every day I am able to look at it, and for once, to not be ashamed of the scars that were once there. Thank you so much. I will always be grateful to you.

—FG
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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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Thank you very much for everything you done for me. Also thanks too to your staff for everything they did. Without you all removing my skin cancer for me with the ways things are I don't know what I would have done.  Thank you.

—CF
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In my observation, it is clear very little goes on in your office without distinct deliberation.  It seems you have an exact process for everything – from the knock on the door while a patient is waiting to the language on the handout being exact, engaging, and grammatically correct.  You are not only an outstanding surgeon, but an outstanding businessman/ manager/etc.  It shows in your office and in your people.

—JM
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Thank you for a successful Mohs surgery. I was very confident in your abilities and it was a pleasure to meet you.

—KR
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Thank you so much for taking extra time out of your busy schedule to give us answers to our questions and concerns. You treated us like how I wish all patients could be treated in the health care system today. Thank you for your wonderful handiwork. EH was in the best of hands.

—LH
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Not only were the staff very kind and caring, but are a real credit to their profession. I was very impressed with the way they relate to their patients. Thank you for taking the time to explain everything to us. Your staff is very wonderful. You should be very proud of them.

—HH
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Thanks again for your patience with your patients.

—BM