If at all possible, please complete the appropriate forms in the comfort and privacy of your home and bring the completed forms with you to your appointment. This will help to expedite the check-in process and cause less wait time for you in the reception area.
Please remember to bring your insurance card to your appointment so we can make a copy for your file and ensure that your insurance is filed correctly. There are two ways in which you can complete the forms:
- Print and fill out by hand
- Complete using the interactive fields and then print
We accept all major credit cards, including Visa, MasterCard, Discover, and American Express. In addition, we accept CareCredit financing from Synchrony Financial.
We want you to have the decision of when to have a cosmetic procedure, not how you are going to pay for it. For that reason, we offer the nation’s leading patient payment program. CareCredit lets you plan or begin your procedure immediately and then pay for it over time. Monthly payments are low and can easily fit into your budget.
CareCredit offers a comprehensive range of no interest and extended payment plans for procedure fees from $1 to over $25,000. With CareCredit, you pay no up-front costs, no pre-payment penalties, and no fees. Plus, CareCredit is a revolving credit line for additional treatment or add-on charges, without the need to re-apply. It only takes a few minutes to apply for CareCredit, and you may receive an online decision in seconds.
How to Apply for CareCredit
- Call 800.677.0718 and find out immediately if you have been approved by using the easy, automated system anytime or apply with a live agent 9 a.m. to 9 p.m. Monday through Friday.
- Go online to complete and submit your application.