(203) 656-9999 Appointment

Patient Resources The Aesthetic Center

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Patient Forms

As a convenience for our patients, and to save you time on your first visit, you can print the following forms, fill them in, and bring them with you. If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.

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Payment Options

The Aesthetic Center Plastic Surgery & Medical Spa proudly accepts the following forms of payment:

  • Cash
  • Check
  • Visa
  • MasterCard
  • American Express
  • Discover
  • CareCredit
Patient Resources for The Aesthetic Center


We believe that reaching your aesthetic goals shouldn’t put a strain on your finances. Our office accepts cash, checks and all major credits cards and we will be happy to work with you to help you finance your procedure if that’s what you need to make it happen. Also, some procedures if medically necessary may be covered entirely or in part by your medical insurance.

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As a service to our patients, we are pleased to offer CareCredit, the nation’s leading patient payment program. Upon request and approval, CareCredit offers a comprehensive range of plans with low minimum monthly payments that fit comfortably into every budget.

With CareCredit you can:

  • Start treatment and care immediately and pay over time
  • Pay for deductibles and treatment not covered by insurance
  • Pay for other medical expenses for you and your family without having to reapply
  • Have no annual fees
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If you are considering plastic surgery in Daren, CT, or anywhere around Fairfield County, contact us to schedule a one-on-one consultation with one of our expert plastic surgeons.

722 Post Rd, Suite 202, Darien, CT 06820