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 was treated with utmost respect from all the nurses and staff. My nurse was excellent. She knew what she was doing. Dr. Dhir made me feel relaxed and confident that he would take care of me. I appreciate everything they did for me.

—NS
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I just wanted to thank you for being so great to work with during my treatments. It is great to be able to talk with someone so knowledgeable and understanding. I'll keep you posted on everything.  Thanks again

—JR
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We had a very positive experience at AZ Mohs Surgery. From Nathalie & good directions, kind eyes Lindsay’s reception, to beautiful Blanca’s good natured pre surgery banter and Dr. Dhir’s surgery – all went well and we appreciated our very fine treatment.

—JD
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Not only were the staff very kind and caring, but are a real credit to their profession. I was very impressed with the way they relate to their patients. Thank you for taking the time to explain everything to us. Your staff is very wonderful. You should be very proud of them.

—HH
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You and your staff, Erica, Blanca, and Alicia were so professional and so kind.  And your building...well, the design is just excellent.  Thanks again!

—JR
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Thank you Dr. Dhir for taking good care of me.  I am healing nicely!  You are a great surgeon.  So kind and thoughtful.  I highly recommend you to anyone and your staff. 

—RM
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I have been reflecting on the minor basal cell surgery that you performed on me yesterday.  I am extremely pleased with the professionalism and expertise of you and your staff, and the quality of your facilities.  I will gladly recommend you and your facility to my family and friends.  Again, thank you for helping me to feel comfortable and reassured during the stressful time.

—DF
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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