Patient Forms

We look forward to caring for 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 the Dermabrasion. My nose looks 100% better. You are the BEST doctor I know, and Theresa you are by far the best nurse I ever seen. Thank you for being so thoughtful and making me feel special. I just can't say enough about you two.  Thank you.

—TD (following Mohs surgery for facial skin cancer and dermabrasion of nose)
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I wanted to send you a huge thank you for all the work you did after my surgery.  As you can see, the scar is not visible at all!  This was a picture from our wedding day and I thought you might enjoy seeing the end result of all of it!  Thanks again for taking such excellent care of me and my face!

—T
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Just wanted to drop you a note to let you know that I'm very pleased with the outcome and appreciative of your superb skill as a surgeon.

—SP
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A young lady at the entrance greeted me in such a friendly manner that the expression on her face, her posture, and her words caught my attention. The instructions are also striking: "you may bathe", "please try to stop smoking", "we would prefer", "please perform a few days", "please be patient as you heal." And finally, "We wish you a speedy recovery." These instructions come from doctors and nurses who are authorities in dermatology. Yet, they are delightfully modest.

—W
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I just wanted to let you know how much I appreciate all you've done for me. Since my birthmark is gone, I feel like a new person. I can't stop looking at myself. You and your staff have been so wonderful to me. I just wanted to let you know how much it means to me to have gotten to know all of you. Thanks.

—HS (following three staged surgeries to remove a giant birthmark measuring 8 x 6 inches on the left breast)
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Fred so enjoyed visiting with you.  He thought you all were pretty spectacular.

—FB
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Thank you for making my unpleasant situation less stressful and not so unpleasant. God Bless You!

—SM
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I want to thank you for your superb professionalism, kindness, and huge heart.  You made my experience through the Mohs Surgery bearable, you explained in detail what to expect, and you calmed my racing heart. It took 3 attempts to achieve clear margins and while I was waiting, the staff was nothing but excellent, caring, and reassuring.  You have an A Class Facility.

—NH
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I thought I recognized Dr. Dhir and it turns out he had done 2 surgeries on me at HealthySkin in 2017. We meet again thankfully. We also appreciated your air filter system and how cool your office is decorated. Very restful colors.

—JD