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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I want to thank you for your kindness during my surgery! You and your staff are the best!

—PN
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Thank you for the excellent care I received on my visit from you and your staff…By the end of week two, you cannot tell where the surgery site was.

—RH
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I just wanted to let you know how much I appreciate all you've done for me. Since my birthmark is gone, I feel like a new person. I can't stop looking at myself. You and your staff have been so wonderful to me. I just wanted to let you know how much it means to me to have gotten to know all of you. Thanks.

—HS (following three staged surgeries to remove a giant birthmark measuring 8 x 6 inches on the left breast)
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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 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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I just wanted to tell you again what a wonderful job you did on my face. As you said it would, each month it gets better and better. If you did not know me, you would never notice it. I am sending this picture so you can see for yourself. Maybe you can put in my file next to the ones that I look beat up in. Ha. Anyway, I really appreciate all of you, not only the great work you do but the care and kindness you showed me. It meant more than you will ever know. Love,

—KL
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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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I wanted to say thank you to you & your staff for the successful removal of the BCC from my forehead.  The wound healed nicely & is not noticeable.  I appreciated how you shared in advance the details on how you perform Mohs surgery.  I enjoyed you sharing your interest in sports cars and racing.

—BB
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A very relaxed and comfortable procedure. I was treated in a very kindly and gentle manner which made the whole process very comfortable. I am having a speedy recovery showing good care and a successful procedure.

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

—FB