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Financing Tips

Unfortunately, economics often dictate what procedure a patient can or cannot have performed. We have a long-standing relationship with Care Credit, which can get you financed for virtually any procedure. You can even fill out your application on-line, and one of their agents will contact you with an answer within 24 hours Don’t let economic worries dictate what you can or cannot accomplish, we can help you!

If you have a specific question about financing give us a call at (713) 790-1771 or click here to send us an email.

Acquired Loan Solutions

IF applying with a co-signer, please submit separate applications, and check here if the person on this form has the strongest credit standing.
A co-applicant is helpful, where the patient has limited or no credit history, damaged credit, and/or a credit score below 630.

First Name *

Last Name *

Date Of Birth *

Social Security No. *

Mother's Maiden Name *

Your Email Address

Address *

City *

State *

Zip Code *

Home Phone*

Work Phone *

Cell Phone *

Employer *

Years / Months with employer *

Credit Line Requested *

How Many Cars / Trucks Do You Own *

How Many Boats / RVs Do You Own *

How Many Student Loans Do You Have *

How Many Personal Loans Do You Have *

Married Yes No

Have You Had a Bankruptcy *

Income *

per Month Year

Major Credit Card Reference (NOT Check or Debit Card)

Credit Card No. (Your Card Will NOT Be Charged)

Inorder to submit your application you must read and agree to the following policy terms and conditions. Use the scrollbar to see the entire agreement.

Application
Policies & Authorization To Release Private Information
I am at least 18, and a U.S. Citizen. I hereby allow the release of the
above information to AcQuired Loan Solutions (ALS), and authorize,
request and empower ALS and/or its agents to apply for and secure
credit offers on my behalf via phone, fax or online service,
acknowledge their terms and conditions for me, verify the information I
provide, obtain my credit report if necessary, and share to the extent
permitted by law this information with others as necessary in their
efforts. I understand it is a criminal offense, to 1) use another
person’s credit information or sign another person’s name to obtain
this loan, 2) to submit false and/or misleading information on the
credit application, 3) to confirm current employment, when in fact you
are currently unemployed or have been notified of job termination on an
immediately upcoming date, 4) to accept a loan for the payment of
surgery expenses, when in fact you are in the process of, or are
planning to file, bankruptcy leading to default of the loan obligation
for financial services from the financial institution. I acknowledge
understanding of the above advisory, and hereby state under the penalty
of perjury, I have the capacity to submit a credit application, and
that I have not committed any of the offenses stated, in the process of
requesting a credit offer. I understand, unsecured personal loans have
a higher risk of default than any other type of loan, because there are
no “goods” (car, boat, furniture, etc.) for the lender to take back and
resell to someone else should the borrower fail to pay, nor can the
lender require a merchant to refund payment for purchases or services
rendered, where the funds were paid directly to the borrower.
Accordingly, I understand approval criteria for unsecured personal
loans is more rigid, and that interest rates are generally higher than
those of credit unions and commercial lenders for retail purchases. I
understand further, eligibility for unsecured personal loans is
typically limited to employed persons with established credit history,
and that applicants with positive credit history have a greater chance
of being approved, and experience lower interest rates and costs, as
their risk of default is statistically low. Conversely, I understand,
applicants with minimal Income and/or Credit History, High
Debt-To-Income Ratio, High Balances, Low FICO Scores, History of Open
Collections, Charge Offs, Late Pays, and Past Dues, Excessive
Obligations, Recent Bankruptcy and Judgments have less chance of being
approved, and/or experience higher interest rates and costs, as their
risk of default are statistically higher. I understand, AcQuired Loan
Solutions (ALS) is not a lender, but an independent processing company,
entirely separate from any lender, engaged in the business of
soliciting and securing unsecured personal loans for its clients, and
therefore neither approves nor denies applications, sets the interest
rate or term, nor discriminates against any person for any reason. I
understand, I am not obligated to accept any credit line offered to me
as a result of this application, and that final approval of my
application can be subject to credit standing, employment status,
and/or income verification. I understand too, if I accept or use any
credit account offered as a result of this application, that I am
responsible for all charges incurred under its terms, and that I may be
prosecuted for any attempt to defraud, slander or malign ALS or the
lender(s), and/or breach the terms of this application in any way. I
understand further, I am responsible for fees that are associated with
my loan, that these fees are typically included in the amount financed
to avoid an out-of-pocket cost prior to funding, and that I will be
advised of any such fees in writing. By submitting this application, I
acknowledge that I have read, understand and accept the terms herein,
affirm to be the person herein named, and instruct lenders to consider
this application a duplicate from me, if received within the past
ninety days. If the meaning of any portion of these terms differs in
interpretation, in any language other than English, the meaning in
English shall be the considered meaning.

I have read and agree to the application policies & authorization to release private information.

Check here to show that a co-signer will be submitting a form.

Click Here for AcQuired Credit Application

Click Here for Exampe Monthly Payments