Getting Started
First Steps
Online Loan Application

We have solutions for your outstanding medical bills. Our Patient Loan online application makes it easy.

  • Enjoy ease of applying. There's no long, cumbersome form and no waiting in line.
  • Get a loan customized just for you!

APPLICANT INFORMATION:

If you are married, you may apply as an individual.

Be sure to complete the spouse information if you live in a community property state or are relying on income from your spouse for repayment.

Please indicate if you are applying for Individual or Joint credit. If you are applying for joint credit, you and your co-applicant agree this is an application for joint credit.

Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this loan.

Apply for a loan