The following forms can be downloaded to your computer and printed at home. In order for Dr. Feledy to provide a complete and comprehensive medical opinion it is important that he reviews all your medical information. Please be prepared to provide this information to our office along with your current medical insurance information. Below are links to our patient information forms. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.
Please note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.
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 3 months or low monthly payments for 48 months (Additional plans may be available)
- Pay no up-front costs, pre-payment penalties or annual fees
Watch a quick video to learn about patient. View now.
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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