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 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 Dani, can't truly express my appreciation of your skill and wonderful care during my recent Mohs experience.  I so appreciate how I was treated by you both.

—BC
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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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Thank you so much for taking such personal care of me. I appreciate all the consideration I was given, the organization, and the promptness of my treatment and your checking on me.

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

—CM
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Very professional, caring people. Will recommend to others.

—GR
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Thank you for the opportunity to spend time in your practice learning about Mohs surgery and more particularly the art of reconstruction. I sincerely appreciate that you tailored your teaching to my future plans. You are the only professor to have done that so far. This week has given me a great deal of insight into future standards for appropriate skin cancer treatment and management. I look forward to a day when I will be honored to call you a colleague.

—MN, Medical Student