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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Just a brief note to express my satisfaction with the outcome of the surgery thus far. I appreciated you taking time out of your busy schedule to answer my questions. Also, I want to compliment your staff because they're so courteous whenever I call and they're so helpful. I recommended you highly to a friend who is now considering surgery on her face. She sees a doctor at UK but I said she should consider using your services. In short, I'm glad I put my face in your hands.

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

—MW
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A very relaxed and comfortable procedure. I was treated in a very kindly and gentle manner which made the whole process very comfortable. I am having a speedy recovery showing good care and a successful procedure.

—KB
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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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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
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Dr. Dhir & Staff, I really appreciate all your professional & caring treatment.  All well here.

—K
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To you, my dear Dr. Dhir - your presence exudes experience and competence.  You have an incredible gift of being personable (no more than that - charming), real, yet focused with an incredible work ethic.

—JM
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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
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I want to thank you for your kindness during my surgery! You and your staff are the best!

—PN
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Thank you so much for being so nice to me and for doing such a great job during my surgery!  Sorry I cried, but I was scared beyond words. I appreciate your professionalism and expertise!

—DK