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 for doing a great job on getting cancer off my eyelid and out the corner of my eye. It has healed well! Every one of you in the office treated me well and took good care of me and I really appreciate that. I'm very pleased that my eye is alright and I hope you can see how is has healed. Thank you so very much!

—RM
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Everyone was extremely pleasant and helpful. All procedures were explained in detail which made the experience comforting. This is a wonderful group.

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

—BC
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Thank you for an extremely competent experience.

—TM
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Thank you so much for taking such personal care of me. I appreciate all the consideration I was given, the organization, and the promptness of my treatment and your checking on me.

—SS
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I am very grateful for the care and skill that has eliminated my cancer. Just as you said, it's been 6 months and there is very, very little marking and no numbness. I am very pleased with the results. Thank you.

—SS
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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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Just a brief note to express my satisfaction with the outcome of the surgery thus far. I appreciated you taking time out of your busy schedule to answer my questions. Also, I want to compliment your staff because they're so courteous whenever I call and they're so helpful. I recommended you highly to a friend who is now considering surgery on her face. She sees a doctor at UK but I said she should consider using your services. In short, I'm glad I put my face in your hands.

—CS
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Thank you for all your kind service, your happy smiles and care.  Enjoy the sweets that are as sweet as all of you. 

—BR and PR