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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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
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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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You pros did a dandy job on my surgery this month:  no pain, no bleeding, no scar, no bad news. :-)

—TK
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I would like to thank Dr. Dhir who is as good as it gets in giving patient care. In this day and time when health care is criticized for various reasons, it is very refreshing to have an organization such as yours doing it the right way. Since my experience with your people, I feel very good about health care and will let others know that you are not only dedicated to your craft but are also dedicated to your patients. Thank you again for making this a very pleasant experience.

—WY
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Thank you for the opportunity to work here and all that I have learned. Thank you for always standing up for what is right and for always defending the employees. I appreciate that very much! I wish you all the best!

—MS
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We both want to thank you and your "cohorts"-not only for the surgery well done-but the sensitivity and thoughtfulness you provided. Thank you.

—MC
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Words can never convey the depth of our gratitude in the treatment of our mother. Going the extra mile with follow-up phone calls and the prayers were greatly appreciated to relieve our fears and concerns. The kindness and compassion that was shown to her and even to us was so deeply felt. Thank you and your staff for everything.

—BB