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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You pros did a dandy job on my surgery this month:  no pain, no bleeding, no scar, no bad news. :-)

—TK
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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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Thank you so much for your excellent medical care, and the special kindness given to us by the office staff.

—MJ and LAJ
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I wanted to take a few minutes to again thank you for the amazing job of cancer removal and ear reconstruction.  The work that you and your team did is amazing.

—LD
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Just a note to thank you for being so diligent in your pursuit of skin cancer. Because you caution 'on the safe side', you were able to detect my basal cell (carcinoma) very early. I also want to thank you for referring me to Dr.  Dhir. He was a dear! Thanks again for your care!

—ME
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Best medical experience ever had.  Thanks, Doc. 

—CH
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Thank you for an extremely competent experience.

—TM
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We so appreciate the care & kindness you have given us.  We have told many friends about your wonderful staff & to have that large of staff & everyone being so awesome - amazing!

—DW
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Just want you to know how pleased I was with the exceptional care received.  Never in my 84 years have I felt so comfortable in a medical setting!

—EK