Capital One - Healthcare Finance - Capital One Healthcare Finance for Dentists - Dental Patient Payment Plan

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Getting Started | Reorder Patient Materials

If you are currently registered with Capital One Healthcare Finance and need to reorder patient materials, please complete the following fields. We may contact your practice to confirm quantities and addresses. If you are not currently registered with Capital One Healthcare Finance and would like presentation materials, please click here to do so now.

(fields marked with an asterisk ^* are required)

^*Dr. First Name:

^*Dr. Last Name:

Office Manager:

^*Address:

^*City:

^*State:

^*Zip:

^*Phone:

()- x

Please select quantities of the following materials and click 'submit' to order.

Material	Quantity
Patient Brochures
Faxable Patient Applications
For all other materials, please contact our office at 1-877-559-5050.

Please allow 5-7 business days for receipt of materials.