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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When it comes to being a great doctor, you more than fill the prescription. I'm so very fortunate to have you for my dermatologist.

—TO
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I would like to thank you and your staff for the wonderful care I received in having my nose growth removed.  I appreciate how quickly you were able to see me and your expert care.

—MS
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Thank you so very much for the tender care given me for my surgery, and to call to check on me was so very thoughtful and kind. To check on me the night of surgery and then the next morning!! Thank you so very much.

—JS
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Thank you for your kindness during my recent visit for my surgery.  It was a pleasure to have doctors who care.  Thanks again.

—N
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The care that you and your staff showed me when I had my nose surgery was phenomenal. I have never been to a doctor’s office that showed so much compassion for his patient and your staff was fantastic, too!

—ML
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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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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 know you don't remember me, but you removed a skin cancer from the side of my nose. I jokingly asked you to make me beautiful.  My nose looks wonderful!  You have to look very carefully to see you incision. I am very happy and pleased with my nose. You and your staff treated me with so much care. I really appreciate it. Something that was so scary to me was handled so that I felt reassured and comfortable. Thank you for your care of me.  Affectionately, your patient.

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

—DF