Patient Payment Solutions - Patient Application for funding

This is an application for financing out-of-pocket expenses for healthcare services. This is a line of credit through Patient Payment Solutions and its affiliate banks. Money will be directly deposited into your account if approved. You will be responsible with making payments directly to our affiliate banks. This information will be available once you are approved.

Patient Payment Solutions can help get funding for the service(s) that you are looking for. We are partners with nation-wide lenders to offer some of the best rates available today.

Patient funding is only available in certain states. There is a $20 non-refundable application fee and does not guarantee approval of funding. All application information and personal identifying information is privately held, bound by HIPAA, and will not be shared with any third party vendors. To start the application process, please select your state of residence.