Provider Enrollment | Core Ascent Finance

Practice & Representative Info

This information helps us track your enrollment and connect you with your Core Ascent representative.

Practice / Business Name *

Business Type *

Contact Name *

Contact Email *

Contact Phone *

Sales Rep Name / ID * The Core Ascent representative who referred you

What to Expect

One-time $375 setup fee required to activate your financing portal

Your practice gets connected to multiple lenders through a single platform
Lender approvals typically take about one week after enrollment
If you already use a consumer financing lender, chances are it is already in our network
Your dedicated rep will walk you through the full activation process

What happens next? After confirming your info, you'll complete the full enrollment form with our financing platform partner. This includes selecting which lender programs your practice wants to offer. Your office manager may need to complete individual lender enrollments, and any lenders you already work with are typically active on day one if they are in our network.

Complete Your Enrollment

Fill out the enrollment form below to get your practice set up with our financing platform and lender partners.

Enrolling:
Rep: | Contact: