New Patient Forms

Patient Financing

Springstone Patient Financing
Springstone’s flexible payment plans give you something to smile about!

• No initial payment and no payment for 4-6 weeks
• Convenient no interest plans available
• Affordable fixed rates as low as 5.99%
• No prepayment penalty for complete flexibility

You can see your potential monthly payment options right now. It’s easy to apply online or from our office. Just ask our front desk team for more information or visit Springstone at www.springstoneplan.com.

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Patient Forms

• Medical History Form (Adult)
• Medical History Form (Child)
• Financial Policy
• HIPAA Privacy Practices
• Signed HIPAA Acknowledgement
• Xray Release - Cottage Grove
• Xray Release - Madison Location

Download Adobe Acrobat