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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You are all so kind & caring!  Thank you, Thank you!

—CW
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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
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I want to thank you for the professional way you handled my surgery. In the last ten years, I have had ten surgeries but I have never been treated with more professional, kind, and courteous service as I received from you and your staff. You took your time to explain all procedures and what I could expect from you. Thanks a million and I wish you continued success in your practice. I'm sure you will be able to make a lot of people happy. Keep up the good work. Your happy patient.

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

—NS
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I just want to thank all of you for being so nice to me and treating me really good.  It’s people like you all that make life worth living and make people want to go on.  Again, thank you for everything you done for me.  I will never forget your kindness.  Love all of you so much.  Thank you!

—KR
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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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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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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