Loan Pre-qualification
Step 1 of 4
Loan Information
Requested Loan Amount:
What is the purpose of your loan? *
Select
Emergency loan (ER Loan)
Equipment Purchase
Other
Practice Acquisition
Practice Buyout
Practice Expansion
Start up practice
Working Capital
Please specify *
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Credit Information
Estimated Credit Score *
Select
760 or higher
720 - 759
680 - 719
640 - 679
Below 640
Estimated Monthly Income *
Estimated Monthly Debt *
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Business Information
Business Established *
Select
Yes
No
Years in Business *
Area of Expertise *
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Acupuncturist (LAc, DAOM)
Advanced Practicing Registered Nurse (APRN)
Advanced Registered Nurse Practitioner (ARNP, NP)
Certified Registered Nurse Anesthetist (CRNA)
Chiropractor (DC)
Dental Hygienist (RDH)
Dentist (DDS, DMD)
Doctor of Physical Therapy (DPT)
Healthcare Administrator (MBA, MHA, FACHE)
Home Health Aide (HHA, PCA, CNA)
Licensed Practical Nurse (LPN, LVN)
Medical Assistant (CMA, RMA, CCMA)
Medical Laboratory Scientist (MLS, MT, CLS)
Mental Health Counselor (LPC, LMHC, NCC)
Naturopathic Doctor (ND, NMD)
Occupational Therapist (OTR, OTD)
Optometrist (OD)
Osteopath (DO)
Other
Paramedic (EMT-P, NRP)
Pharmacist (PharmD, RPh)
Physical Therapist (PT, DPT)
Physician/Surgeon (MD, DO)
Physician Assistant (PA, PA-C)
Podiatrist (DPM)
Psychologist (PhD, PsyD, EdD)
Radiologic Technologist (RT, ARRT)
Registered Nurse (RN)
Respiratory Therapist (RRT, CRT)
Social Worker (LCSW, MSW, LICSW)
Speech-Language Pathologist (SLP, CCC-SLP)
Surgical Technologist (CST, CRCST)
Veterinarian (DVM)
Veterinary Technician (RVT, LVT, CVT)
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Personal Information
First Name *
Last Name *
Email Address *
Mobile Phone *
Address *
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Your Estimated Payment
Your Rate Information
Estimated Monthly Payment:
Adjust Loan Term
6 months
60 months
144 months
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