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 being so kind to me during my recent surgery. You are beautiful people.  With love and best wishes.

—BC
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I just wanted to let you know how much I appreciate all you've done for me. Since my birthmark is gone, I feel like a new person. I can't stop looking at myself. You and your staff have been so wonderful to me. I just wanted to let you know how much it means to me to have gotten to know all of you. Thanks.

—HS (following three staged surgeries to remove a giant birthmark measuring 8 x 6 inches on the left breast)
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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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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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I just wanted to let you know how much your kindness touched my heart. Thank you!

—NS
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I wanted to send you a huge thank you for all the work you did after my surgery.  As you can see, the scar is not visible at all!  This was a picture from our wedding day and I thought you might enjoy seeing the end result of all of it!  Thanks again for taking such excellent care of me and my face!

—T
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Just a note to thank you for my surgery. The graft has taken well and it seems to be healing nicely. Since I was diagnosed with myeloma and lymphoma, I have been treated by a number of doctors and surgeons. You have been one of the very best. You were friendly, took time to explain things in easy-to-understand terms. You are a very skilled surgeon. I was treated more as a friend, not just another number. It's never fun to go to doctors, but you make it as enjoyable as possible. Thanks.

—PS
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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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