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

quote icon

I know you don't remember me, but you removed a skin cancer from the side of my nose. I jokingly asked you to make me beautiful.  My nose looks wonderful!  You have to look very carefully to see you incision. I am very happy and pleased with my nose. You and your staff treated me with so much care. I really appreciate it. Something that was so scary to me was handled so that I felt reassured and comfortable. Thank you for your care of me.  Affectionately, your patient.

—EKS
quote icon

Dr. Dhir, I couldn't have asked for a better outcome.  Your skills, as well as that ever-important bedside manner are unparalleled.  Thank you all again!

—MH (nurse practitioner)
quote icon

quote icon

Your patience, time, and care are greatly appreciated. I am so absolutely pleased with my leg that now each and every day I am able to look at it, and for once, to not be ashamed of the scars that were once there. Thank you so much. I will always be grateful to you.

—FG
quote icon

Thank you for sharing with our Young-At-Heart group. We gained much knowledge from your informative presentation. Your enthusiasm and individual attention will stay with us a long time. The ladies are using the cream and they are praising it highly. Thanks again for giving your time to talk to us.

—CY
quote icon

Dr. Dhir and Dani, can't truly express my appreciation of your skill and wonderful care during my recent Mohs experience.  I so appreciate how I was treated by you both.

—BC
quote icon

quote icon

Thank you for your thoughtfulness and compassion from the moment we met.  I am very fortunate to have you as my Doctor and Surgeon.

—JM
quote icon

Thank you all for being so kind, compassionate, and caring.

—PR
quote icon

The word "courteous" carries an image by which I can think of my happy experience. I was treated as if I were a royal personage, an honored guest at the court of a king. The king’s royal physician performed the surgery! Please accept my thanks, Dr. Anir Dhir, for this memorable experience.

—W