Specials

Breast Augmentation Special
$3699.00*

Tummy Tuck Special
$4299.00*

 

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Lap-Band® Surgery

Los Angeles Lap Band Doctors

Lap-Band® is an adjustable gastric banding system designed to help you realize your weight loss goals.

3D Animations

See your procedure in 3D..3D Animations

Plastic Surgery Financing / Weight Loss Surgery Financing

Inland Empire Surgery Center offers easy financing options for our patients. We understand that times are tough for many and obtaining financing is not always easy in this economy. This is why we have several lending sources available, including Care Credit and SurgeryLoans.

Your physician consultant can help you apply and obtain financing on approved credit. We will work with both you and a co-signer, if necessary, to find the best option for you and your financial situation.

We also offer specialized layaway programs to help patients who are not approved for financing. Please call or schedule an appointment to go over the details with a physician consultant.

Please complete the information below to begin your application process.

Items marked with * are required.

* Applicant Name:

First Name:

Middle Initial:

Last Name:

Date of Birth:


(mm/dd/yyyy)

Social Security #:


(555-55-5555)

Driver's Licence #:


Driver's Licence Expiration Date

Mother's Maiden Name:


Email Address:

 
* Applicant Information

Home Address:

Apartment #:

City:

State:

Zip:

Years at Residence:

Yrs.
Mos.

Home Status:

Monthly Payment $:

Home Phone:

Cell Phone:

 
All information is strictly confidential and will be used by Inland Empire Surgery Center and/or its lenders for the purpose of eligibility determination. I hereby autorize IE Surgery Center and its agents, to obtain any credit reports and information they deem necessary to complete a credit review.
    

 
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