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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We just wanted to say thank you - not only for your professionalism and expert care - but for your compassion. I've never been blessed with a more competent physician and as you know, we've seen our share. There will be a special place in heaven for you but just know for now that there are people that owe your their life - but you already have our hearts! Bless you Doc! We love you!

—PJ and JJ
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You are truly exceptional.  As for your staff, I am most appreciative of their care also.  They welcomed me, treated me splendidly and kept me in an excellent state of mind.  I had no questions that they couldn't answer and their conduct built confidence in me.  Kudos to your entire organization.

—TLS
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I just wanted to drop you all a note to say thanks for the treatment I received in your office this week. I was very pleasantly surprised to have everything run as smooth as it did. Also, the follow-up call that evening was appreciated. You all are to be commended on your professionalism and concern.

—BW
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I feel like the luckiest person on earth that I was sent to you.  You have the lightest touch while working, but the determination to get things right like a 5 Star General.  You are rare.

—JM
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Thank you for the very professional and personal care you and your staff provided me yesterday. No one looks forward to surgery of any kind. But your manner and clarity of explanations help to set me at ease. Your staff was very warm, very caring, yet very professional. They explained each part of the process, leaving no uncertainties in my mind about what to expect next. It was very assuring as we moved through the procedure.

—S
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In my observation, it is clear very little goes on in your office without distinct deliberation.  It seems you have an exact process for everything – from the knock on the door while a patient is waiting to the language on the handout being exact, engaging, and grammatically correct.  You are not only an outstanding surgeon, but an outstanding businessman/ manager/etc.  It shows in your office and in your people.

—JM
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We are most grateful for the extraordinary skill and care you demonstrated when performing surgery last week. We are pleased beyond measure with your expertise.

—GT
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I have been reflecting on the minor basal cell surgery that you performed on me yesterday.  I am extremely pleased with the professionalism and expertise of you and your staff, and the quality of your facilities.  I will gladly recommend you and your facility to my family and friends.  Again, thank you for helping me to feel comfortable and reassured during the stressful time.

—DF
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Looking back on 2003, my family and I have faced many stressful and trying times traveling back and forth from doctor's office to office.  We are very fortunate to have such a caring doctor along with staff who are always willing to help in anyway possible. Thank you and your staff for not giving up and traveling down this long, hard road with me. You have always been straight up and honest with me and had my best interest in mind, not many doctors are like that and take things as personal.

—PE