Patient Forms
If you’re coming to Northshore Plastic Surgery for the first time, plan to spend about an hour at the office. New patients should arrive ten to fifteen minutes before their scheduled appointment to complete registration paperwork. To see you as quickly as possible, and to enhance your convenience, these forms are provided here to download and complete in advance:
- New Patient Information Form
- Medical History
- Patient Photo Release
- Medical Records Release and Privacy Practices Form
- Notice of Privacy Practices
Patient Login
Financing Options
Northshore Plastic Surgery offers patient financing through CareCredit, Alle Pay, Cherry, and Prosper Health Care, some of the nation’s most affordable and reputable finance programs. We know the cost of aesthetics is a major factor for patients so we offer plans with a range of payment options that will fit comfortably within your budget.
CareCredit
With CareCredit healthcare financing is made easy. CareCredit helps make the health, wellness and beauty treatments and procedures you want possible today.
Cherry
Thinking about a new treatment or just keeping up your look? Cherry makes it easy to say yes—with flexible payment plans and no hard credit check. Split your payments over time with options that fit your budget—some starting at 0% APR.
Alle Pay
Considering a new treatment or just want to maintain your look? Alle helps make your goals a reality while considering your financial needs.Find a payment plan that works for you with an APR starting as low as 0%.
Prosper Healthcare Lending
One of the nations premier healthcare service lender. American HealthCare Lending services hospitals and clinics for health and cosmetic procedures.
