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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Thank you for taking good care of me. Mohs surgery is difficult. You all made it easier.

—TD
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Thank you for the surgery on my right eye area + the kind + wonderful way you and your staff treated me.  I was upset for being late and you all made me so relaxed and welcome.  My sincere thanks.

—SM
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Everyone was very nice to me. I would recommend the Surgery Center to anyone.

—Anonymous
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Everyone was extremely pleasant and helpful. All procedures were explained in detail which made the experience comforting. This is a wonderful group.

—Anonymous
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Thank you for the opportunity to spend time in your practice learning about Mohs surgery and more particularly the art of reconstruction. I sincerely appreciate that you tailored your teaching to my future plans. You are the only professor to have done that so far. This week has given me a great deal of insight into future standards for appropriate skin cancer treatment and management. I look forward to a day when I will be honored to call you a colleague.

—MN, Medical Student
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Just a note to thank you for my surgery. The graft has taken well and it seems to be healing nicely. Since I was diagnosed with myeloma and lymphoma, I have been treated by a number of doctors and surgeons. You have been one of the very best. You were friendly, took time to explain things in easy-to-understand terms. You are a very skilled surgeon. I was treated more as a friend, not just another number. It's never fun to go to doctors, but you make it as enjoyable as possible. Thanks.

—PS
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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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Obviously, every detail has been addressed in the design of your facility...richly enhanced by VERY skilled hands & friendly faces!  Happy to say, the surgical site is healing beautifully...beyond expectations.  I recommend your practice at every opportunity.

—BK
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Wanted to say thank you for what you did on my behalf.  I could see why you were voted one of the Best Doctors.  You're kind, considerate, thoughtful, and make your patients comfortable.

—LS