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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Doctor, thank you for being so kind and so good at your work.

—BC
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Thank you so much for your excellent surgery. The friendliness of your staff and you made the surgery very easy and relaxed for me, and I do appreciate it.

—SH
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Thanks for the advice you gave me to have the mole removed. I am thankful to God for the knowledge he has given you to know how to help people! Thanks again.

—JAC
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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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Obviously, every detail has been addressed in the design of your facility...richly enhanced by VERY skilled hands & friendly faces!  Happy to say, the surgical site is healing beautifully...beyond expectations.  I recommend your practice at every opportunity.

—BK
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Thank you for all your care and concern and all your patience and time you used on me. You and your staff were wonderful. God bless you.

—DC
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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 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 want to thank you for your superb professionalism, kindness, and huge heart.  You made my experience through the Mohs Surgery bearable, you explained in detail what to expect, and you calmed my racing heart. It took 3 attempts to achieve clear margins and while I was waiting, the staff was nothing but excellent, caring, and reassuring.  You have an A Class Facility.

—NH