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 so much for being so nice to me and for doing such a great job during my surgery!  Sorry I cried, but I was scared beyond words. I appreciate your professionalism and expertise!

—DK
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Words can never convey the depth of our gratitude in the treatment of our mother. Going the extra mile with follow-up phone calls and the prayers were greatly appreciated to relieve our fears and concerns. The kindness and compassion that was shown to her and even to us was so deeply felt. Thank you and your staff for everything.

—BB
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Merry Christmas and a Happy Holiday to you!  I thank you so much for your thoughts, prayers, and wonderful cards. There is not another doctor like that. You care! That is wonderful.

—SH (after Mohs surgery)
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Special thanks for performing surgery on my face recently .  I appreciate all the discipline, experience, and education you have invested over the years in order to become an excellent surgeon.  You are really serving the public well and saving lives as you go.  Congratulations to you and your fine firm.

—JM
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Dr. Dhir & Staff, I really appreciate all your professional & caring treatment.  All well here.

—K
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Thank you so much for taking such personal care of me. I appreciate all the consideration I was given, the organization, and the promptness of my treatment and your checking on me.

—SS
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Dr. Dhir and Jackie, I am blessed to have you be my Mohs team!  Thank you!

—DF
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I am truly blessed to have you in my life. Thank you so much for your special attention.

—AS
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You are truly exceptional.  As for your staff, I am most appreciative of their care also.  They welcomed me, treated me splendidly and kept me in an excellent state of mind.  I had no questions that they couldn't answer and their conduct built confidence in me.  Kudos to your entire organization.

—TLS
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Thank you for doing a great job on getting cancer off my eyelid and out the corner of my eye. It has healed well! Every one of you in the office treated me well and took good care of me and I really appreciate that. I'm very pleased that my eye is alright and I hope you can see how is has healed. Thank you so very much!

—RM