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 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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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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Please thank Jackie, Blanca, and Lindsay who were always so helpful and kind to me and my husband.  I thank you for being you!

—MS
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Dr. Dhir and Jackie, I am blessed to have you be my Mohs team!  Thank you!

—DF
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Thank you Dr. Dhir for taking good care of me.  I am healing nicely!  You are a great surgeon.  So kind and thoughtful.  I highly recommend you to anyone and your staff. 

—RM
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I guess that is what makes your so special. And for all the phone calls you have made, checking on me after surgeries, that means the world to me. I just hope you and your staff realize how special you are to me and my family. Without you, this journey might not have lasted this long. Thanks for everything in helping me fight this disease.

—PE (after four years of multiple Mohs surgeries for organ transplant-related skin cancers)
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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
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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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Just a brief note to express my satisfaction with the outcome of the surgery thus far. I appreciated you taking time out of your busy schedule to answer my questions. Also, I want to compliment your staff because they're so courteous whenever I call and they're so helpful. I recommended you highly to a friend who is now considering surgery on her face. She sees a doctor at UK but I said she should consider using your services. In short, I'm glad I put my face in your hands.

—CS
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Thank you so much for the great job that you did for me. I greatly appreciate all that you are and all that you do. Your staff was wonderful and I was impressed with your care, humor, and confidence and of course your skills. I felt very comfortable and in great hands.

—MH