Download Patient Forms

To make your experience with Gonyon Cosmetic and Plastic Surgery easier, please download the appropriate forms needed and have them filled out prior to your visit.

Med Spa - New Patient Paperwork
Insurance - New Patient Paperwork
Cosmetic - New Patient Paperwork

Plastic Surgery Financing

Take years off of your appearance or achieve a look that makes you feel more confident

It is impossible to put a price tag on feeling wonderful. Our goal is to offer payment and financing options that fit every budget.

Cosmetic Surgery Financing

For cosmetic consultations, financing and payment options are reviewed with our Patient Care Coordinator at the initial consultation. Since cosmetic surgery, procedures or treatments are most often private pay and not covered by insurance, our goal is to offer financing options that work for any household budget.  We believe that everyone deserves to look and feel their best and work hard to ensure that we are able to provide the best financing options available.


Dr. Gonyon and our team of medical professionals are standing by to assist you.

Are you interested in learning more about financing options for your surgery or procedure? Please complete the short form below to begin the process of scheduling your complimentary consultation.
Items marked with * are required.
Privacy Policy


Dental Financing

GreenSky offers loans for procedures or treatments that are not covered by insurance.  GreenSky is a service provider and program administrator for federally insured, federal and state chartered banks that provide consumer loans under the GreenSky® Programs. It’s a great option for surgeries or CoolSculpting packages, but can be used for any of our services.

Patient’s are most interested in hearing how they can have a no-interest loan for 6-18 months. The 60 month option lets you have the lowest monthly payment possible. Let us help you determine if you pre-qualify for a loan without running a credit report. For more information visit the GreenSky customer portal.

We offer the following Green Sky options:

  • 6 Months NO INTEREST if paid in FULL (no minimum $ amount)
  • 12 Months NO INTEREST if paid in FULL (no minimum $ amount)
  • 18 Months NO INTEREST if paid in FULL ($3600 minimum)
  • 60 Months 14.9 % Interest ($3600 minimum)

Care Credit

CareCredit is a line of credit designed exclusively for treatments and procedures not covered by insurance. Once approved, you are issued a credit card that can be used at any merchant or doctors office that accepts Care Credit.  Because of it’s low minimum purchase requirement and credit limit that does not expire, Care Credit is most frequently used for our MedSpa services like Botox, Juvederm fillers, Obagi skin care, microneedling, facials and chemical peels.  It’s easy to maintain your results with Care Credit.

Care Credit can be applied for online through the Care Credit website. If you would prefer assistance with applying, one of our helpful team members will be happy to assist you.

We offer the following Care Credit plan options.

  • 6 Month NO INTEREST if paid in FULL ($200 minimum)
  • 12 Month NO INTEREST if paid in FULL ($200 minimum)
  • 24 Month 14.9% Interest ($1000 minimum)
  • 36 Month 15.9% Interest ($1000 minimum)


Insurance Related Surgery or Procedures

As a courtesy for insurance patients, our Billing and Insurance Coordinator is available to help you navigate your care.  We’ll work with you and your insurance provider to ensure you understand your bill.