You understand and agree that by clicking on the “Agree and Continue Prequalification” button:

We offer, in conjunction with our partner businesses, certain products and services to patients that may make payment for treatment more convenient. Because of our commitment to protecting the privacy of the information you provide as a patient, we would like your authorization to use the information described below to offer you these products and services. Please read the information below carefully before checking off the acknowledgment box at the bottom. A dental office team member is standing by, available to answer any questions regarding this authorization.

You are being prequalified for credit by each of the lenders offering financing options through this platform (“Lenders”), and have read and agree to the disclosures provided with this prequalification.

You are providing “written authorization” to Lenders under the Fair Credit Reporting Act authorizing each Lender to obtain information from your personal credit report or other information from Experian or other credit bureaus. You authorize each Lender to obtain such information solely to conduct a prequalification for credit.

You understand that a prequalification is not a guarantee of an approval for credit and a failure to prequalify is not a denial of credit.

When you review your financing options, a soft inquiry will be performed on your credit report, which won't impact your credit score. When you select a financing offer and submit it for review, a hard inquiry will be performed, which may impact your credit score and be viewed by third parties.

This prequalification and any information submitted with this prequalification may be shared with and retained by Alphaeon.

Prequalification Terms and Conditions: I agree to be prequalified for credit by Comenity Bank/Comenity Capital Bank (“Bank”) for an Alphaeon Credit Card. I have read and agree to the disclosures provided on or with this prequalification. The information I am submitting is accurate. I understand that a prequalification is not a guaranty of credit and a failure to prequalify is not a denial of credit. Whether or not I am prequalified, I may submit a full application for credit at which time a full credit report will be obtained. This prequalification and any information I submit to the Bank may be shared with and retained by Alphaeon. A copy of these terms and conditions and prequalification disclosures may be obtained from the associate.

To be prequalified you must: Be at least 18 years of age, have a valid government-issued photo ID, have a U.S. Social Security Number, and be a United States resident with a street, rural route or APO/FPO mailing address.