Request Your Free Quote with Financing Options

Fill out the form below, and your Clinic Patient Coordinator (in partnership with AwayMed) will prepare a personalized treatment quote and financing package for you.

There’s no obligation or hard credit check — this simply helps us tailor your options.

First Name *

Last Name *

Patient Email *

Patient Phone *

Procedure You’re Interested In *

Preferred Clinic or Doctor’s Name *

Don’t worry if it’s not exact — we’ll match it for you.

City of Clinic *

Simple, secure financing for cross-border medical care.

Quick Links

Providers

Patients

Help

Contact Info

+1 (888) 857-4965

AwayMed LLC

30 N Gould St., Ste N

Sheridan, WY, 82801

Legal & Compliance

Terms of Use

Privacy Policy

Financing provided by Affirm. Payment options are subject to eligibility and are provided by Affirm’s lending partners. AwayMed LLC is the merchant of record and responsible for coordinating services, billing, and payment distribution. See Affirm.com/help for details.