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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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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I just want to thank all of you for being so nice to me and treating me really good.  It’s people like you all that make life worth living and make people want to go on.  Again, thank you for everything you done for me.  I will never forget your kindness.  Love all of you so much.  Thank you!

—KR
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I just want you to know how much it meant to me to see you at the visitation. What a class act you are! He really enjoyed the few times we were there, and he loved your nurse! After talking to many friends, I want you to know that you are highly thought of by your patients.

—LH
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Thanks again for your patience with your patients.

—BM
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I want to let you know what a wonderful staff I think you have!  From the girls at the desk to your nurses.  They made my first visit a pleasure.  Thanks again.

—LS
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Doctor Dhir and staff, I appreciated the high level of professional and personal care. Explanation of treatment, pathology, and care was thorough, appropriate, and excellently delivered. Thanks!

—DK
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I just want to thank you for the good job you did on my nose and I appreciate your kind, sweet staff. I am so glad God put me in your hands. Keep up the good work.

—B
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Not only were the staff very kind and caring, but are a real credit to their profession. I was very impressed with the way they relate to their patients. Thank you for taking the time to explain everything to us. Your staff is very wonderful. You should be very proud of them.

—HH
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This older man greatly appreciates your excellent care and kind attention. Thank you so much.

—J