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

quote icon

Thank you for the opportunity to work here and all that I have learned. Thank you for always standing up for what is right and for always defending the employees. I appreciate that very much! I wish you all the best!

—MS
quote icon

Your kindness and professionalism, as well as that of your staff, was very much appreciated. As a healthcare worker, I take pride in treating my patients like I myself would like to be treated. It is quite evident that you each do that for your patients, too. Such admirable qualities are hard to find. Thank you for the excellent care that you gave my mother. I will never forget your kindness and the kindness of everyone who also helped care for her.

—DGH
quote icon

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
quote icon

Thank you for the Dermabrasion. My nose looks 100% better. You are the BEST doctor I know, and Theresa you are by far the best nurse I ever seen. Thank you for being so thoughtful and making me feel special. I just can't say enough about you two.  Thank you.

—TD (following Mohs surgery for facial skin cancer and dermabrasion of nose)
quote icon

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
quote icon

Thank you for the surgery on my right eye area + the kind + wonderful way you and your staff treated me.  I was upset for being late and you all made me so relaxed and welcome.  My sincere thanks.

—SM
quote icon

Thank you so much! Sorry I cried. I get hormonal sometimes! You all were great and I appreciate everything you did for me!

—MW
quote icon

Thank you, Lindsay, for the warm welcome.  Thank you Blanca and Dr. Dhir for your professionalism and skills, and everyone else involved.

—BG
quote icon

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
quote icon

I just wanted to drop you all a note to say thanks for the treatment I received in your office this week. I was very pleasantly surprised to have everything run as smooth as it did. Also, the follow-up call that evening was appreciated. You all are to be commended on your professionalism and concern.

—BW