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 feel that my surgery experience was much more pleasant than I had expected because of your expertise along with your gentle, caring nature. You can't know how much that unexpected phone call meant to me.  Comments from family and friends have been that they cannot believe that it has been only a week since the surgery when they saw my forehead. I think they consider you a magician, too!! I hope I never need this type of surgery again but will not be concerned. Thank you.

—GC
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Thank you so much for your excellent surgery. The friendliness of your staff and you made the surgery very easy and relaxed for me, and I do appreciate it.

—SH
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I am truly blessed to have you in my life. Thank you so much for your special attention.

—AS
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I wish to thank the staff for being so nice, kind, and patient with me.  All were just great! 

—RM
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We had a very positive experience at AZ Mohs Surgery. From Nathalie & good directions, kind eyes Lindsay’s reception, to beautiful Blanca’s good natured pre surgery banter and Dr. Dhir’s surgery – all went well and we appreciated our very fine treatment.

—JD
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My contact with your office with questions about the procedure was greeted with full explanations and a courteous spirit.  Warmth without professionalism leaves one uncertain; professionalism without warmth leaves one uncomfortable. Gladly, you and your staff combined both warmth and professionalism.

—S
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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
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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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Thank you for your kindness. I wish I could put into words what your thoughtfulness means to us. I am so amazed at the things you have done for my husband and myself that you didn't have to do. It is very greatly appreciated.

—JE
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I wanted to take this opportunity this opportunity to thank you all for taking care of me before, during, and after my Mohs surgery.  The customer service, compassion, and kindness of every single staff member was absolutely stellar and you should be incredibly proud of your dedication to the patient!

—MH (nurse practitioner)