Global Funding Sources Medical Financing Form

We specialize in the medical industry and offer customized financing solutions that are tailored to your specific needs.

Amount Requested
Please enter a number from 0 to 500000.
Name of Practice
Type of Practice
Time In Business
Monthly Revenue
Use of Funds
State Where Business Is Located
Last Name
First Name
Phone Number
Email Address
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All loans are subject to credit approval and normal underwriting standards. Minimum and maximum loan amounts, rates, fees, terms and collateral requirements are subject to specific guidelines and may change without notice. All loans are submitted by Global Funding Sources for its affiliate lenders. Available cash amounts may vary and collateral requirements apply.