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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Please thank Jackie, Blanca, and Lindsay who were always so helpful and kind to me and my husband.  I thank you for being you!

—MS
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I just wanted to let you know how much I appreciate all you've done for me. Since my birthmark is gone, I feel like a new person. I can't stop looking at myself. You and your staff have been so wonderful to me. I just wanted to let you know how much it means to me to have gotten to know all of you. Thanks.

—HS (following three staged surgeries to remove a giant birthmark measuring 8 x 6 inches on the left breast)
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We have greatly appreciated the excellent care we have received in our surgeries and dermatology treatments.  We have highly recommended you to many as your are THE BEST!

—DL & ALMOST THERE
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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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A royal thank you for treating me like a queen.

—EC
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I just wanted to drop you a line to tell you how happy I am concerning the care you gave me.  I tend to be quite critical of everything from medical service to cereal box design.  I even rate things on the traditional A to F scale.  I have never rated anything an A plus but Mohs broke through!

—JO
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I just wanted to tell you again what a wonderful job you did on my face. As you said it would, each month it gets better and better. If you did not know me, you would never notice it. I am sending this picture so you can see for yourself. Maybe you can put in my file next to the ones that I look beat up in. Ha. Anyway, I really appreciate all of you, not only the great work you do but the care and kindness you showed me. It meant more than you will ever know. Love,

—KL
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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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Everyone was very nice to me. I would recommend the Surgery Center to anyone.

—Anonymous