Financing Application Form

Congratulations! You have taken the first steps towards your exciting new Aesthetic Hair Surgery with the Award winning Surgeons Dr. Victor Hasson & Dr. Jerry Wong!

Medicard is Canada's premier medical financing company, and we are proud to be celebrating 20 years of partnership with Dr. Hasson and Dr. Wong's office.

Please complete the form below to begin your journey towards a new head of hair. Go ahead ... Now you can afford to!


Financing Application Form

Begin the application

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About You

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Current Address


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Procedure information


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Other income

References

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Additional information

If you have any further information, or have any questions, please contact us at and we will be happy to assist you.

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