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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Thank you for the excellent care I received on my visit from you and your staff…By the end of week two, you cannot tell where the surgery site was.

—RH
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I feel that my surgery experience was much more pleasant than I had expected because of your expertise along with your gentle, caring nature. You can't know how much that unexpected phone call meant to me.  Comments from family and friends have been that they cannot believe that it has been only a week since the surgery when they saw my forehead. I think they consider you a magician, too!! I hope I never need this type of surgery again but will not be concerned. Thank you.

—GC
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This older man greatly appreciates your excellent care and kind attention. Thank you so much.

—J
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It has been a little over a week since my last subcision procedure and things are going and looking great! I want you to know how much I greatly appreciate your help, kindness, and concern. You are one of the few doctors who leaves you with the pleasing impression that they honestly care about their patients.

—FG
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AT is doing fine. I just wanted to thank you for all your kindness. You were super in my eyes. We will never forget you all. God Bless you all.

—OT
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I want to let you know what a wonderful staff I think you have!  From the girls at the desk to your nurses.  They made my first visit a pleasure.  Thanks again.

—LS
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I just want to thank you for the good job you did on my nose and I appreciate your kind, sweet staff. I am so glad God put me in your hands. Keep up the good work.

—B
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The word "courteous" carries an image by which I can think of my happy experience. I was treated as if I were a royal personage, an honored guest at the court of a king. The king’s royal physician performed the surgery! Please accept my thanks, Dr. Anir Dhir, for this memorable experience.

—W