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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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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I just want to thank you for the great job you have always done, hiding my scars, and making me look as good as possible.  I haven't thanked you enough for your amazing work.

—TR
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You have such value!! Thank you for using the gifts that God gave you to bring health, healing and happiness to other people!  His cheek is all healed and you cannot see the incision.  Wow!  What a great job you did!

—C & R
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My husband had his hand operated on by Dr. Dhir , using the Mohs technique, back in the spring and doesn't even have a scar!! Not only is he a wonderful surgeon, but a super nice person!! Everyone there was great!!

—M
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I'm doing great and my nose is beautiful, thanks to you! A great job!

—CM
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I feel like the luckiest person on earth that I was sent to you.  You have the lightest touch while working, but the determination to get things right like a 5 Star General.  You are rare.

—JM
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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 appreciate your generosity in allowing me to observe you at work.  This was very educational, and now I feel I can properly inform patients about the expected experience when undergoing Mohs surgery.  It is clear to me what an elegant, accurate, and effective method to excising skin cancers.  I am impressed with the way your clinic is run.  The nurses and staff are very professional and responsive to the patients which I’m sure they appreciate.  I hope to see you in the future!

—ENT Resident
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I just wanted to thank you for being so great to work with during my treatments. It is great to be able to talk with someone so knowledgeable and understanding. I'll keep you posted on everything.  Thanks again

—JR