Mohs Surgery Skin Cancer Seattle - Sam Naficy, MD - Facial Plastic & Reconstructive Surgery in Bellevue & Seattle

Forms

A comprehensive list of links to our downloadable forms
(in PDF format).

To be able to see PDF files, you will need a copy of the
Adobe Acrobat Reader

New patient forms

• Patient Registration [36kb PDF]
• Medical History [22kb PDF]

Pre-operative instructions

• Medications to avoid [16kb PDF]
• Anesthesia guidelines [14kb PDF]

Post-operative care instructions

• Bolstered Wounds [13kb PDF]
• Composite Graft [16kb PDF]
• Dermabrasion [17kb PDF]
• Granulating Wounds [13kb PDF]
• Local Flaps [14kb PDF]
• Pedicled Flaps [14kb PDF]
• Simple Wounds [13kb PDF]
• Skin Graft [16kb PDF]
• Skin Graft after one week [12kb PDF]
• Steri-strip Closure [14kb PDF]