Terms And Conditions
Prior to submitting an application, I agree and/or confirm:
- That I am at least 18 years of age.
- I permit LCPS to share information with my medical/dental provider(s) concerning the status of this application and account.
- Although LCPS will not be provided with information about my specific treatment(s), certain information LCPS obtains from my medical/dental provider could be considered "protected health information" under the Health Insurance Portability and Accountability Act of 1996 ("HIPAA").
- I hereby authorize the provider to disclose my name, verify I am receiving treatment, whether the treatment is completed and the cost of that treatment to LCPS.
- That I am a citizen or permanent resident of the United States.
- That I have a U.S. Social Security Number.
- To allow LCPS and LendingClub to use my credit report(s) to check my eligibility for financing and verify my identity and the information in my application, and to contact other third parties to verify such information.
- That the information I have supplied on this application is true and correct.
- That LCPS may need to contact me regarding my application or my relationship with LCPS, its partner banks, the patient’s provider, or other third parties. By submitting this application, I expressly consent to be contacted by LCPS, its agents, representatives, affiliates,or anyone calling on its behalf for those reasons at the mobile or landline telephone numbers I provide (including any landline telephone number later converted to a mobile telephone number) or by automated dialer or through the use of a prerecorded message or artificial voice. I understand my mobile telephone provider will charge me according to my plan. Finally, I agree to alert LCPS if I stop using the telephone number I provided.