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 for the Dermabrasion. My nose looks 100% better. You are the BEST doctor I know, and Theresa you are by far the best nurse I ever seen. Thank you for being so thoughtful and making me feel special. I just can't say enough about you two.  Thank you.

—TD (following Mohs surgery for facial skin cancer and dermabrasion of nose)
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Dr. Dhir & Staff, I really appreciate all your professional & caring treatment.  All well here.

—K
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Thank you for being so great when I was there!

—JM
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Thank you for the surgery on my right eye area + the kind + wonderful way you and your staff treated me.  I was upset for being late and you all made me so relaxed and welcome.  My sincere thanks.

—SM
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Just wanted to drop you a note to let you know that I'm very pleased with the outcome and appreciative of your superb skill as a surgeon.

—SP
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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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Just a note to thank you for being so diligent in your pursuit of skin cancer. Because you caution 'on the safe side', you were able to detect my basal cell (carcinoma) very early. I also want to thank you for referring me to Dr.  Dhir. He was a dear! Thanks again for your care!

—ME
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I just wanted to thank you for your call Friday after my neck surgery. I greatly appreciate your concern. Even though skin cancer is considered to have a high cure rate, it is upsetting to find out that you have any kind of cancer. You and your wonderful staff have made a difficult situation easier to understand and cope with.

—LC
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I wanted to take a few minutes to again thank you for the amazing job of cancer removal and ear reconstruction.  The work that you and your team did is amazing.

—LD
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The care that you and your staff showed me when I had my nose surgery was phenomenal!! I have never been to a doctor's office that showed so much compassion for his patient and your staff was fantastic, too!

—ML