Plastic Surgery Patient Information Houston
For the sake of convenience and to speed up the consultation process, you may complete the forms below and bring them to our Houston plastic surgery office on the day of your consultation appointment. This will expedite the paperwork process, allowing for a more relaxing experience during the visit. Click on the links to download our forms in a PDF format. The PDF files are relatively small and should take only a few minutes to download.
Need a PDF reader? Download your free copy here 
Finance Information
ACPS Clear Lake accepts the following forms of payment: cash, cashier’s check, money order, credit card or CareCredit™. We do not accept insurance and do not offer “in-house” financing.
When considering procedures at ACPS Clear Lake, it is important to note that there may be a cost-savings involved when multiple procedures are done at the same time. We offer several financing options that may allow you to consider additional surgical goals, while making them more affordable. Through Care Credit, we are able to offer a 6-month no-interest payment plan with a $1,000 minimum charge and extended 24-month and 36-month payment plans.
Patients who may need financing should apply prior to their consultation. Simply click on the logo below to be redirected to the Website, where you will find more information on the appropriate plans and a convenient payment calculator.
CareCredit
Alphaeon Credit
Your Best You is Closer Than You Think
With the Alphaeon Credit card, you’ll find the widest array of monthly payment options to help your reach your individual wellness, beauty, and performance goals.
The Alphaeon Credit card allows you to move forward today without delay. Plus, with special financing options not available with other credit cards, you may find the ALPHAEON CREDIT card is the better way to pay.
With the Alphaeon Credit card, you can receive the care your physician recommends with flexible payment options that fit your lifestyle.
Apply today so you can focus on looking, feeling, and being your best.
For more information about Fees and Financing, see our Fees and Financing page.
