Patient Forms and Links

Forms

Please download, print and fill out our Patient Profile, Health History and Consent-Disclosure forms to save time, then bring them with you for your appointment.

• Health History
• Consent to Disclose
• Patient Profile
• New Patient Forms
• Breast Reduction Questionnaire

CareCredit – Healthcare Financing Credit Card

CareCredit is a credit card designed to help you finance your health, beauty and wellness expenses by providing a way to pay for the treatments and procedures you want — for yourself and your family — right away (subject to credit approval).

The CareCredit healthcare credit card is:

• Convenient. Use it again and again as your own dedicated health and wellness line of credit (subject to credit approval).
• Helpful. Special financing options with convenient monthly payments help you fit care into your budget.
• Flexible. Select doctors or healthcare providers near you. Pay monthly or pay your balance off at any time.
• Simple and straightforward. Pay for the treatments or procedures you want, when you want them.

If you are on a mobile device, click this link for more information on CareCredit.