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've been searching for the right situation to use this thank you card for a long time. Can't think of a more appropriate time than now to express my sincere gratitude for your willingness to help me achieve admired post surgical appearance results.

—GF
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Thank you for your thoughtfulness and compassion from the moment we met.  I am very fortunate to have you as my Doctor and Surgeon.

—JM
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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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Thank you for taking patience with me and my hard of hearing problem. I also like your manner of "doctor to patient" attitude. I appreciate all you did and your patience with me. I know it's hard to talk to a person 88 years old and particularly nearly deaf but both me and my daughter appreciate your patience and service. If I have a problem, I'll see you and know it will be taken care of.

—BS
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While it's never fun to have surgery, the staff at Arizona Mohs Surgery make it the best possible experience.  I hope that I'm forever cancer free but if I have to have more surgery, thanks to your team, I won't go into it with fear and trepidation.

—BG
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Obviously, every detail has been addressed in the design of your facility...richly enhanced by VERY skilled hands & friendly faces!  Happy to say, the surgical site is healing beautifully...beyond expectations.  I recommend your practice at every opportunity.

—BK
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I guess that is what makes your so special. And for all the phone calls you have made, checking on me after surgeries, that means the world to me. I just hope you and your staff realize how special you are to me and my family. Without you, this journey might not have lasted this long. Thanks for everything in helping me fight this disease.

—PE (after four years of multiple Mohs surgeries for organ transplant-related skin cancers)
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How can I possibly explain how much you have meant to us. When you took the Hippocratic Oath, it must have had an addendum that covered care and compassion. You are truly special and I feel so blessed to know you.

—SS
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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