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Thank you for applying with Capital One Healthcare Finance®. Before you complete the application below, please note the following important information.

To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you apply for a loan, we will ask you for your name, address, date of birth and other information that will allow us to identify you.

Minimum Requirements
There is a minimum of $15,000 gross annual household income to apply and applicants must be 18 years of age.

Terms and Conditions
As part of the application process, you authorize Capital One Healthcare Finance to retrieve your credit report and verify employment and income information.

Treatment Fee *                             $
     Estimates are OK
Where are you applying from? *
I am
If you are applying for
someone else:		 By proceeding, I confirm that I have written consent from the applicant to apply on their behalf.
Terms and conditions *
In connection with processing your loan application, authorization is required to disclose information to provider's staff related to the processing, decisioning, and funding of your loan application. This will include items such as name, address, decision, rate and loan terms. Do you agree to these terms and conditions?
(Check if yes.)
Have you selected a doctor ?

Understanding Your Fixed-rate Loan or No-interest Loan
The Fact Pacts below provide you with plain-English summaries of your healthcare finance loan. You will be applying for either a Fixed-Rate Loan or a No-Interest Loan.

Fixed-rate plan

Loan amount: You choose from
$995 - $25,000

APR: Fixed and will not change,
1.99% - 25.99%
Upon approval, the Annual Percentage Rate available to you will be determined by the term for which you apply and your credit standing.

Loan term: You choose from
18, 24, 36, 48, or 60 months

Monthly payment: Determined by term, loan amount, and APR
Fees: Application fee: None
Prepayment fee: None

When you'll confirm the details:
Upon approval, you'll receive your exact

If payment is dishonored or returned, we reserve the right to charge a $25 returned check fee. If any part of a payment is received after the stated due date, we reserve the right to charge a late fee of $39.

++ Rates for our program range from 1.99% APR to 25.99% APR. The APR available to you will be determined by the term for which you apply and your credit standing. These rates are available for a limited time only and are not available in all areas.

Worried about sending this information over the internet? Capital One Healthcare Finance is committed to the security of the customers with whom we do business. For that reason, we use Secure Sockets Layer (SSL) encryption to conduct all online transactions. SSL is an encryption protocol that provides confidentiality and integrity for all communications between customers and the Capital One Healthcare Finance site.

You can also call our toll free number to apply over the phone at 1-877-559-5050.