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 Form and Insurance Information
- Medical History
- Patient Photo Release
- Financial Policy
- Notice of Privacy Practices
- Notice of Privacy Practices Acknowledgement
- Medical Records Release
Patient Login
Financing Options
CareCredit
With CareCredit healthcare financing is made easy.
Prosper Healthcare Lending
One of the nations premier healthcare service lender. American HealthCare Lending services hospitals and clinics for health and cosmetic procedures.
ALPHAEON CREDIT
With the ALPHAEON CREDIT card, you’ll find the widest array of monthly payment options to help your reach your individual wellness, beauty, and performance goals.
Payment Options
