Financing

We are dedicated to making your experience with us as easy and convenient as possible. If you are interested in exploring financing options, our consultants are happy to help walk you through the process so that you can secure the best rates and affordable monthly payments.

Whether you have good credit, poor credit or no credit at all, we'll do our best to get you rates and payments to fit your budget. We only do business with reputable and established financial companies and will get you a reply within 48 hours. The application process is fast and entirely confidential with minimal paperwork for you. You may apply online or complete the application when you come in for your consultation.

Complete the application below to begin your application process.

Items marked with * are required:

PRIVACY STATEMENT: All information submitted is considered strictly confidential and will never be sold, traded or given to any third party for any reason whatsoever. Information collected will be used to contact you exclusively by Beverly Hills Plastic Surgeons.

Applicant Name
*First Name:
Middle Initial:
*Last Name:
*Date of Birth: (mm/dd/yyyy)
*Social Security #: (555-55-5555)
*Email Address:
 

Applicant Information
*Home Address:
Apartment #:
*City:
*State:
*Zip:
*Years at Residence: Yrs. Mos.
*Home Status:
*Monthly Payment $:
*Home Phone:
Cell Phone:
 

Applicant Employment Information
*Company:
*Years at Company: Yrs. Mos.
*Occupation:
Position/Job Description:
*Work Address:
Suite #:
*City:
*State:
*Zip:
*Work Phone:
*Yearly Gross Salary $:
Yearly Additional Income $:
Source of Additional Income:
 

* Please select the type of procedure(s) you desire below:
For Multiple Choices, hold down the 'Ctrl' key on your Keyboard and select the types.
Tentative Procedure Date: (mm/dd/yyyy)
Estimated Cost For Procedure:
Down Payment/Deposit (If Any):
 

Co-Applicant Name
Relationship:
First Name:
Middle Initial:
Last Name:
Date of Birth: (mm/dd/yyyy)
Social Security #: (555-55-5555)
 

Co-Applicant Information
Home Address:
Apartment #:
City:
State:
Zip:
Years at Residence: Yrs. Mos.
Home Status:
Monthly Payment $:
Home Phone:
Cell Phone:
 

Co-Applicant Employment Information
Company:
Year at Company: Yrs. Mos.
Occupation:
Position/Job Description:
Work Address:
Suite #:
City:
State:
Zip:
Work Phone:
Yearly Gross Salary $:
Yearly Additional Income $:
Source of Additional Income:
Comments:


All information is strictly confidential and will be used by Capri Global Management, LLC and/or its lenders for the purpose of eligibility determination. I hereby autorize Capri Global Management, LLC and its agents, to obtain any credit reports and information they deem necessary to complete a credit review.

Assisting you in obtaining financing is very important to us. If you do not hear back from us within two business days please email us at contactus@bhdocs.com.

All information is strictly confidential and will be used by Allied Surgical Centers Management, Inc. (ASCM) and/or its lenders for the purpose of eligibilty determination. I hereby authorize ASCM and its agents to obtain any credit reports and information they deem necessary to complete a credit review.