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 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 have worked at a hospital for ten years so I have a real insight to health care facilities. The minute I walked in your door for surgery, the better I felt. I would rate my experience with your staff as outstanding. The people who work at your facility are very good at what they do. I was treated by smiling, friendly faces who loved their job and love their patients. The whole staff were very professional but most importantly were very concerned and caring towards me as their patient.

—WY
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Thank you, Lindsay, for the warm welcome.  Thank you Blanca and Dr. Dhir for your professionalism and skills, and everyone else involved.

—BG
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The lovely ladies at the front desk could not be more accommodating.  They make you feel comfortable and they're so pleasant!  Your surgical assistant was so incredibly professional, but warm and friendly.

—JM
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Thank you for the excellent care I received on my visit from you and your staff…By the end of week two, you cannot tell where the surgery site was.

—RH
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Three days have passed since your removal of the cancer from my face.  The pain from the surgery has been light and tolerable.  There has been no need for pills to relieve this pain.  There are no signs of bleeding or of swelling.  You mentioned the danger to a nerve which controls the mouth, had the cancer not been removed.  The body is wonderfully made!  It has never occurred to me that there is a mechanism which enables us to open our mouths.

—W
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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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Just a note to thank you for being so diligent in your pursuit of skin cancer. Because you caution 'on the safe side', you were able to detect my basal cell (carcinoma) very early. I also want to thank you for referring me to Dr.  Dhir. He was a dear! Thanks again for your care!

—ME
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Thank you for your kind and professional care!

—FS