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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Thank you all for your care and expertise during our recent skin surgeries. Everything was really appreciated for our speedy recoveries.

—J&AE
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I have worked at a hospital for ten years so I have a real insight to health care facilities. The minute I walked in your door for surgery, the better I felt. I would rate my experience with your staff as outstanding. The people who work at your facility are very good at what they do. I was treated by smiling, friendly faces who loved their job and love their patients. The whole staff were very professional but most importantly were very concerned and caring towards me as their patient.

—WY
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I just wanted to let you know how much your kindness touched my heart. Thank you!

—NS
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While it's never fun to have surgery, the staff at Arizona Mohs Surgery make it the best possible experience.  I hope that I'm forever cancer free but if I have to have more surgery, thanks to your team, I won't go into it with fear and trepidation.

—BG
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Thank you for allowing me to observe your surgeries and 'talking shop' through the procedures for my benefit. Your sincere concern for your patients' comfort, as exhibited by your extraordinary bedside manner, truly sets a new, higher level for me to strive toward. I will strive for the highest mark, and I appreciate your example and training.

—TB, Medical Student
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Special thanks for performing surgery on my face recently .  I appreciate all the discipline, experience, and education you have invested over the years in order to become an excellent surgeon.  You are really serving the public well and saving lives as you go.  Congratulations to you and your fine firm.

—JM
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Your husband is a super surgeon! Also a super person! The entire office is very super! My experience there has been wonderful. I appreciate all the knowledge and friendly atmosphere.

—NT
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I wanted to say thank you to you & your staff for the successful removal of the BCC from my forehead.  The wound healed nicely & is not noticeable.  I appreciated how you shared in advance the details on how you perform Mohs surgery.  I enjoyed you sharing your interest in sports cars and racing.

—BB