Map & Directions

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Consultation Request

For general information please complete the form below and it will be directed to the appropriate individual within our office.

Note: Do not use this form in case of a emergency! Please be advised that completing this form does not constitute a patient/ physician relationship.

Your Name:
Street Address:
Address 2 (Suite, Apartment or PO Box):
City:
State:
Zip Code:
Home Telephone:
Work Telephone:
E-Mail Address:
Are you currently a patient:	YES NO
If not, how did you hear of our practice:	Patient Referral Doctor Referral Hospital Advertisement Insurance Carrier Yellow Page Ad Other
Which member of our staff are you interested in contacting:	Patient Coordinator
Which procedure are you interested in or are being currently treated for:	Breast Enhancement Body Contouring Facial Surgery General Plastic Surgery Other
Nature of Comment:	General Information Appointment Billing Website Other
Use the space below for your comments:

 

Financing

CareCredit® for Cosmetic Procedures

 

It's something you've always wanted to do, but something else was always there to hold you back. Well, not anymore. We offer CareCredit®, a card designed specifically for your health and beauty needs. CareCredit can help you move forward with getting the procedure you've always wanted. With convenient monthly payment options, no up-front costs, no prepayment penalties and no annual fees, you can get your procedure sooner.

Like a credit card, but better

CareCredit works just like a credit card, but is exclusive for healthcare services. With low monthly payments every time you use it, you can use your card over and over for follow-up appointments or different procedures. This means you don't have to put your health and beauty needs on hold until you save up enough money. We give you the power to decide when it's the right time for you.

With CareCredit, you can:

• Enjoy low minimum monthly payments
• Get No Interest financing if paid within 12 months or fixed, low interest financing for up to 60 months (Additional plans may be available)
• Pay no up-front costs, pre-payment penalties or annual fees.

Learn more by visiting CareCredit.com or contacting our office. Ready to apply? Apply online for your CareCredit card today.

 

ChaseHealthAdvance 

Cosmetic surgery procedures and other treatments not covered by health insurance can be financed through ChaseHealthAdvance, a group of flexible payment plan that offer patients no interest for up to 24 months, depending on the individual plan chosen.  Extended payment plan of up to 48 months are also available so patients on nearly any budget can find a plan that works for them. 

There is no down payment required with this financing option, and instant credit decisions are available, allowing patients to easily apply and get approved so that they can undergo their chosen treatment as soon as they desire. 

Learn more by visiting ChaseHealthAdvance.com or contacting our office. You also have the option to Appy Online.

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