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 so much for your kindness and compassion during my surgery visit.  I had heard only good things about your office and I was very pleased with the ‘personal’ touch you show your patients.

—W
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I was treated with utmost respect from all the nurses and staff. My nurse was excellent. She knew what she was doing. Dr. Dhir made me feel relaxed and confident that he would take care of me. I appreciate everything they did for me.

—NS
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Thank you so much for your care & skills & kindness.

—MPS & CS
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I wanted to thank you and your staff for taking such good care of me when I visited the surgery center. I was happy to be treated so kindly and really appreciate that your nurses went out of their way to make me comfortable and help accommodate me with my modesty / religious preferences. Thank you.

—A
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It is a miracle to look at Gordon and not see the large, red, and very irritating sores that were there. Dr. Dhir did the surgeries…I thank God and Dr. Dhir and his assistants for their most patient, kind, and loving treatment of Gordon. He is a special person and I know God has helped us to get this far with his recovery from a most dramatic period in his life.

—The Central Record (newspaper column), October 26, 2006
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Thank you so much for sharing your talents with me the last couple of years. You have been so kind and you can't imagine what a difference you have made in my life. You are a wonderful doctor!

—PB
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I just want you to know how much it meant to me to see you at the visitation. What a class act you are! He really enjoyed the few times we were there, and he loved your nurse! After talking to many friends, I want you to know that you are highly thought of by your patients.

—LH
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A note of thanks to you and your whole team.  I can't thank you enough for making my Mohs surgery easy, pain free, and thorough.  Again, many thanks!

—AO