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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Everyone was extremely pleasant and helpful. All procedures were explained in detail which made the experience comforting. This is a wonderful group.

—Anonymous
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Thank you for taking patience with me and my hard of hearing problem. I also like your manner of "doctor to patient" attitude. I appreciate all you did and your patience with me. I know it's hard to talk to a person 88 years old and particularly nearly deaf but both me and my daughter appreciate your patience and service. If I have a problem, I'll see you and know it will be taken care of.

—BS
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You are truly exceptional.  As for your staff, I am most appreciative of their care also.  They welcomed me, treated me splendidly and kept me in an excellent state of mind.  I had no questions that they couldn't answer and their conduct built confidence in me.  Kudos to your entire organization.

—TLS
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Thanks again for your patience with your patients.

—BM
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Thank you so much for your excellent medical care, and the special kindness given to us by the office staff.

—MJ and LAJ
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I appreciate your generosity in allowing me to observe you at work.  This was very educational, and now I feel I can properly inform patients about the expected experience when undergoing Mohs surgery.  It is clear to me what an elegant, accurate, and effective method to excising skin cancers.  I am impressed with the way your clinic is run.  The nurses and staff are very professional and responsive to the patients which I’m sure they appreciate.  I hope to see you in the future!

—ENT Resident
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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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I just want to thank you for the good job you did on my nose and I appreciate your kind, sweet staff. I am so glad God put me in your hands. Keep up the good work.

—B
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You have such value!! Thank you for using the gifts that God gave you to bring health, healing and happiness to other people!  His cheek is all healed and you cannot see the incision.  Wow!  What a great job you did!

—C & R