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Patient Forms
The following are forms for new patients. If you would like to save time, you can print them from your computer, fill them out, and bring them when you come for your first visit. We also have copies available at our office.
* Please bring insurance card and a photo ID.
Need Adobe Acrobat Reader?
 If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon 'Get Acrobat® Reader'. This will take you to Adobe's website and enable you to download the Acrobat program to your computer.
Financing Option
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 asking us for details.
Ready to apply? Apply online for your CareCredit card today.
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