Financing Application Form

Dr. Korus always takes the time to understand what your goals of surgery are to come up with a surgical plan tailored specifically for you.

Medicard is Canada's premier medical financing company, and we are proud to be partnered with Dr. Korus' office.

Please complete the form below to be one step closer to a new you. Go ahead ... Now you can afford to!


Financing Application Form

Begin the application

* indicates a required field.

You are
     
Your preferred language of communication
   

About You

Salutation
           

Current Address


Own or rent?
     

Procedure information


Employment information


Other income

References

Reference #1

Reference #2

Social media handles

Additional information

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

Terms & conditions