Eric T. Elwood, MD
Glyn E. Jones, MD
Lisa A. Whitty, MD
Home  •  Financing/Billing  •  Forms & Billing

The billing policy for Illinois Plastic Surgery requires full payment of fees as quoted thirty (30) days prior to your surgery.

We accept cash, check, and major credit cards, or we can provide you with information about various other financing solutions. Our professional administrative staff will be happy to discuss the options with you, including a variety of down payment and monthly payment choices. You may also consider talking to your own lender or investigating other avenues. Here is one organization we recommend.

M~Lend Financial
VOICE —888.474.6231

Your health is of utmost importance to us. Therefore, to ensure that we have all the needed information to properly care for you, we have several patient information forms for you to complete. Be sure to select the forms that are used by your specific physician. Please remember that accuracy and honesty are extremely important when filling out any official paperwork, especially that related to your health.

Although these forms are available online, they are not electronically submitted. You have two options:

1. Open the Adobe® Acrobat® forms, enter the appropriate information, save as a new pdf form to your hard drive and print so you can bring them to your appointment.

2. Print forms, complete, sign and bring them with you to your appointment.

Click here for our physician patient forms

Click here for Tamara’s patient forms

These forms have been saved in Adobe® Acrobat® for your convenience. They require Version 7.0 or above. A link has been provided below if you are in need of this software. IPS cannot guarantee the functionality of the software in the link below. IPS provides this link to you “as is”, and you agree to use it at your own risk.

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