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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We had a very positive experience at AZ Mohs Surgery. From Nathalie & good directions, kind eyes Lindsay’s reception, to beautiful Blanca’s good natured pre surgery banter and Dr. Dhir’s surgery – all went well and we appreciated our very fine treatment.

—JD
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Thank you so very much for taking such exceptional care of me. I was quite nervous being on the other side of the surgery. You completely put my mind at ease.

—HM
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I know you don't remember me, but you removed a skin cancer from the side of my nose. I jokingly asked you to make me beautiful.  My nose looks wonderful!  You have to look very carefully to see you incision. I am very happy and pleased with my nose. You and your staff treated me with so much care. I really appreciate it. Something that was so scary to me was handled so that I felt reassured and comfortable. Thank you for your care of me.  Affectionately, your patient.

—EKS
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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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Not only were the staff very kind and caring, but are a real credit to their profession. I was very impressed with the way they relate to their patients. Thank you for taking the time to explain everything to us. Your staff is very wonderful. You should be very proud of them.

—HH
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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
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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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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