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

quote icon

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

—PN
quote icon

My contact with your office with questions about the procedure was greeted with full explanations and a courteous spirit.  Warmth without professionalism leaves one uncertain; professionalism without warmth leaves one uncomfortable. Gladly, you and your staff combined both warmth and professionalism.

—S
quote icon

I would like to thank you and your staff for the wonderful care I received in having my nose growth removed.  I appreciate how quickly you were able to see me and your expert care.

—MS
quote icon

Your staff is amazing, so professional, caring, and kind.  Should you ever find yourself in Maine during the Summer, I'd like to treat you to a lobster dinner.  Thank you again for your amazing work.

—LD
quote icon

Thank you for taking good care of me. Mohs surgery is difficult. You all made it easier.

—TD
quote icon

I want to thank you for the professional way you handled my surgery. In the last ten years, I have had ten surgeries but I have never been treated with more professional, kind, and courteous service as I received from you and your staff. You took your time to explain all procedures and what I could expect from you. Thanks a million and I wish you continued success in your practice. I'm sure you will be able to make a lot of people happy. Keep up the good work. Your happy patient.

—MC
quote icon

Thank you so much for your care & skills & kindness.

—MPS & CS
quote icon

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
quote icon

Thank you for the opportunity to work here and all that I have learned. Thank you for always standing up for what is right and for always defending the employees. I appreciate that very much! I wish you all the best!

—MS
quote icon

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