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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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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People like you make the world a brighter place! Everyone that I've met at your office has been so very nice and kind. I just want you to know that I sincerely appreciate all of you! Thank you so very much.

—MT
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Thank you for being so great when I was there!

—JM
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The word "courteous" carries an image by which I can think of my happy experience. I was treated as if I were a royal personage, an honored guest at the court of a king. The king’s royal physician performed the surgery! Please accept my thanks, Dr. Anir Dhir, for this memorable experience.

—W
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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 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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Thank you for all your help. I also wanted to compliment you on your kindness and great attention to detail. You always make time to talk and made me feel at ease through a tense procedure. I have been to many doctors in my life and would rate you as the best I have ever known. Your attentiveness, compassion, and ability are without any possible reproach. I can actually say I looked forward to my doctor visits rather than avoided them. I wish you continued success.  Thank you truly.

—TN
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Thank you so much for your excellent medical care, and the special kindness given to us by the office staff.

—MJ and LAJ
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Thank you for your thoughtfulness and compassion from the moment we met.  I am very fortunate to have you as my Doctor and Surgeon.

—JM
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I just wanted to drop you a line to tell you how happy I am concerning the care you gave me.  I tend to be quite critical of everything from medical service to cereal box design.  I even rate things on the traditional A to F scale.  I have never rated anything an A plus but Mohs broke through!

—JO