The following patient forms and instructions are available for download. Please call our office at (949) 706-9988 if you have any questions on which form you need.

Payment Options

  • Cash
  • Check
  • Visa
  • Mastercard
  • Discover
  • American Express

Financing Options Through CareCredit


Dr. Wirth offers CareCredit® financing for cosmetic procedures, a company that offers payment plans for your health and beauty needs. CareCredit offers several monthly payment options, no up-front costs, no pre-payment penalties, and no annual fees.

It works like a credit card for medical services. After your first procedure, you may continue to use CareCredit for follow-up appointments and other procedures.


What Interest rates does CareCredit have?

For qualifying patients, CareCredit offers no interest financing if paid within three months or fixed, low interest financing for up to 60 months. Additional plans are available to meet varying patient needs.

How long does the approval process take?

The approval process for CareCredit is immediate. You may also be able to begin using your account before your card arrives.

Where can I use my CareCredit account?

In addition to using CareCredit to pay for your cosmetic procedure, you can also use it to cover the cost of dentist and veterinary visits, as well as LASIK treatments among others.

How do I know if CareCredit is right for me?

CareCredit offers a range of payment plans and interest rates so it's easy to apply and get approved for a plan that fits your needs.

Click Here to Apply Now

Check our Monthly Specials For Discounts!