Mohs Pre-Surgical Patient Questionnaire Form:

pre-surgical_questionaire.pdf | |
File Size: | 927 kb |
File Type: |
Record Release Forms:
(If you would like a copy of your medical records please print and sign the "Record Release Form (OUT)" and give us a call so we can have them ready for you to pick up. Unfortunately we don't email/fax/mail any records to patients. They are only available to pick up.
![]()
|
Please fill out this form (IN) if you are requesting your records to be sent to our office from another office.
|
![]()
|
Please fill out this form (OUT) if you are requesting your medical records/ if you'd like us to send your medical records to another office.
|