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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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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Just wanted to say thanks, even though very late, for the excellent procedure you did on my face (left side).  It is practically invisible.

—TB
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Fred so enjoyed visiting with you.  He thought you all were pretty spectacular.

—FB
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Thank you so very much for the tender care given me for my surgery, and to call to check on me was so very thoughtful and kind. To check on me the night of surgery and then the next morning!! Thank you so very much.

—JS
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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 don't know anyone who says, "I'm so happy I'm going to the doctor today". However, your staff did an excellent job of making me very comfortable. I know I'm not the only patient and your call was appreciated. It brought back memories of my childhood and our family doctor. You are a good doctor and I would recommend your facility to anyone. I spent a lot of time with your staff and they support you with kindness and compassion.  You made it an experience I can remember with fondness.

—AS
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Thank you, Lindsay, for the warm welcome.  Thank you Blanca and Dr. Dhir for your professionalism and skills, and everyone else involved.

—BG
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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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I just wanted to let you know how much your kindness touched my heart. Thank you!

—NS