Patient Resources
Patient Forms
Please be sure to arrive at least 15 minutes prior to your appointment to complete all necessary paperwork.
The following forms are available to you for your convenience:
- Patient Info
- Health History
- Financial Policy
- Cosmetic Patient and Self Pay Financial Policy
- Privacy Notice
- Medical Privacy Notification
In order to provide our patients with the best medical care and most appropriate treatment plan, we require all of our patients to complete a new health history form on an annual basis.
Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.
Financial Services
Our Special Loan Programs for Plastic Surgery Patients
M-Lend is happy to provide you with a quick turn around time on loan applications.
You may contact them by calling: 1-888-474-6231, ext. 2
Or apply on-line at www.mlendfinancial.com
We also accept Care Credit for Cosmetic Procedures valued at $3,000 and above. Special payment plans available. For details regarding plan options please call our office at (919) 872-2616. (We do not accept Care Credit for insurance co-pays, deductibles or co-insurance)
You may contact Care Credit at 1-800-365-8295 or apply on-line at http://www.carecredit.com
We Also Accept
Cash, Check, Insurance, American Express, Visa, Mastercard, Discover
Prescription and Refill Policy
Prescriptions and refills will be provided only during regular office hours:
Monday – Friday, 8:00 a.m. – 4:30 p.m.
Please call early in the day to allow adequate time to serve you.
Reminders:
-
Take medications only as directed.
- Be aware of the possibility of medication interactions.
- Monitor yourself for side effects. If you suspect an adverse or bad reaction, stop the medicine immediately and call your doctor.
- NSAIDs and narcotics should never be taken in combination with alcohol.
- NSAIDs and narcotic medications are not recommended for use by pregnant women or nursing mothers.
- Do not hesitate to call your pharmacy or RPSC with questions or problems concerning
your medication (919) 872-2616.






