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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Dr. Dhir and Dani, can't truly express my appreciation of your skill and wonderful care during my recent Mohs experience.  I so appreciate how I was treated by you both.

—BC
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We have greatly appreciated the excellent care we have received in our surgeries and dermatology treatments.  We have highly recommended you to many as your are THE BEST!

—DL & ALMOST THERE
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Thank you for sharing with our Young-At-Heart group. We gained much knowledge from your informative presentation. Your enthusiasm and individual attention will stay with us a long time. The ladies are using the cream and they are praising it highly. Thanks again for giving your time to talk to us.

—CY
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Just wanted to send you a little note of thanks for being so kind and thoughtful when I had my minor surgery on Friday. It was so nice of you to call me after the surgery to see how I was feeling. I don't think I have ever had a doctor do that and it made me feel good. Thanks again.

—JT
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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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Thank you so much for the wonderful care you and your staff gave me. The removal of my skin cancer was a breeze. I appreciated the straightforward information and genuine care. I hope dealing with my insurance is not too big of a headache for your staff. I am thankful they were willing to go an extra mile to get my visits approved. If I am lucky, my employer will realize you are the best choice for their dermatology services. That way, I can continue to have the excellent care you give.

—KH
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My contact with your office with questions about the procedure was greeted with full explanations and a courteous spirit.  Warmth without professionalism leaves one uncertain; professionalism without warmth leaves one uncomfortable. Gladly, you and your staff combined both warmth and professionalism.

—S
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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
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When it comes to being a great doctor, you more than fill the prescription. I'm so very fortunate to have you for my dermatologist.

—TO
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How can I possibly explain how much you have meant to us. When you took the Hippocratic Oath, it must have had an addendum that covered care and compassion. You are truly special and I feel so blessed to know you.

—SS