New Patient Forms
For your convenience, the New Patient packet can be downloaded to your computer and printed at home. By filling this out ahead of time, you will save time during your visit. Please be prepared to provide this information to our office along with your current medical insurance card and photo ID. If you have any questions when filling out these forms, our staff will be happy to assist you with your questions on the day of your visit.
The Patient Portal allows our patients to easily communicate with our office via the Internet, safely and securely. Access your medical information from the comfort and privacy of your home or office.
The patient portal allows patients to:
- View and manage patient statements
- Request prescription refills
- Update pharmacy information
- Schedule appointments 24/7
- Review health maintenance reminders
- And much more...
Insurance & Financing Questions
Having a cosmetic procedure is an investment in yourself – both how you look and how you feel. Bella Vista ENT & Facial Plastic Surgery would like the choice for cosmetic surgery to be as easy as possible. Financing programs create the opportunity for you to schedule the procedure you desire, at the time you want.
CareCredit® is one of the premier financing companies offering healthcare finance options. With CareCredit® financing, you can obtain affordable, low-interest payment plans. CareCredit® payment plans can make it possible for you to finance the costs of plastic surgery – up to $25,000 – and make low monthly payments, sometimes as little as $25 per month. Monthly payments will depend on the total costs being financed and how long your plan is in effect. CareCredit® offers both extended payment plans and no-interest options.
If you are considering surgery and are interested in learning more about Credit Care you can ask our Surgery Coordinator at (805) 494-4797.
We participate with most major insurance companies. We make every effort to provide you with the finest surgical care and the most convenient financial options. To accomplish this goal, we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures. When scheduling an appointment, we will need to verify your insurance coverage prior to your visit. Please have your insurance card(s) available, as you will be asked for that information.
For your convenience we offer a variety of payment options. We accept Visa, MasterCard, and Discover credit cards, checks, and cash. Co-payments, co-insurance, and deductibles will be collected at the time of the visit.
It is important to have a sense of what your insurance will pay for prior to your visit or surgery. We will be happy to answer any questions you may have.