Board Certified Family Medicine offering Cosmetic and Dermatology Services

Payment and Financing Options

Think of CareCredit as your own beauty credit card.  Whether it's plastic surgery, facial rejuvenation or laser hair reduction, you shouldn't have to worry about how to get the procedures you want. That’s why we're pleased to accept the CareCredit credit card*.  CareCredit lets you say "Yes" to cosmetic procedures, and pay for them in convenient monthly payments that fit your financial situation.


With special financing options*,  you can use your CareCredit card again and again for your cosmetic needs, as well as at 186,000 other providers.

It’s free and easy to apply and you’ll receive a decision immediately.  If you’re approved, you can schedule your procedures even before you receive your card.  With more than 21 million accounts opened since CareCredit began nearly 30 years ago, they are the trusted source for healthcare credit cards. 


Learn more by visiting www.carecredit.com and apply for ​your CareCredit card today.


*Subject to credit approval. Minimum monthly payments required. Minimum purchase applies. Ask us for details.

About CareCredit

Beauty Credit Card for Cosmetic Financing 

We accept Cash, Check, and Debit/Credit as payment for services. We also accept CareCredit for Cosmetic Services.

Dermatological Appointments: New Patient Registration Forms

 *You can view/download our Notice of Privacy Practices for your records.

 

If you are interested in Cosmetic Services, you can download those registration and consent forms here:

Step 1: Cosmetic Intake Form            Step 2: Choose the appropriate Consent below.

                                                                   Relaxers Consent Form (i.e. Botox or Dysport)

                                                                   Dermal Filler Consent Form (i.e. Juvederm, Restylane, etc)

                                                                   Laser Hair Reduction Consent Form

                                                                   M22 IPL Consent Form (Laser Photorejuvenation for sun/age spots, rosacea, etc)

                                                                   Kybella Consent Form (for "double chin" reduction)

                                                                   Asclera Consent Form (for spider vein reduction)

To save time at your first visit, we have made our patient forms available for download here. Feel free to download, print, and complete these forms in the comfort of your home. Remember to bring these completed forms, your photo ID and insurance cards to your appointment. All of these forms are in PDF format, which can be easily read and printed with Acrobat Reader, a free program available for download here.

Patient Forms

Your doctor is someone you should be comfortable discussing any and all of your medical issues. That is why your physician at Adera & Adera PA will take the time to get to know you and your medical history in order to recommend appropriate options and make sure you are knowledgeable about your conditions and treatments.  We encourage you to ask questions so you are comfortable with your Plan of Care!

At Your First Appointment