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

quote icon

quote icon

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)
quote icon

Thank you for your thoughtfulness and compassion from the moment we met.  I am very fortunate to have you as my Doctor and Surgeon.

—JM
quote icon

quote icon

Thank you very much for everything you done for me. Also thanks too to your staff for everything they did. Without you all removing my skin cancer for me with the ways things are I don't know what I would have done.  Thank you.

—CF
quote icon

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

—BC
quote icon

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

—Anonymous
quote icon

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
quote icon

Wanted to say thank you for what you did on my behalf.  I could see why you were voted one of the Best Doctors.  You're kind, considerate, thoughtful, and make your patients comfortable.

—LS
quote icon

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