Please fill out the form below and a representative from our lending partner, Rok Financial will contact you. Name Email Bisiness Phone Business Name Credit Score Your Credit Score 720+ 680-719 650-679 600-649 599 or below Industry Choose Below Medical practices Dental practices Chiropractic clinics Physical therapy clinics Occupational therapy clinics Speech therapy clinics Mental health practices Psychiatry practices Psychology practices Counseling centers Urgent care centers Family medicine practices Internal medicine practices Pediatric practices OB/GYN practices Dermatology practices Orthopedic practices Cardiology practices Neurology practices Gastroenterology practices Ophthalmology practices Optometry practices ENT practices Podiatry practices Pain management clinics Surgical centers Ambulatory surgery centers Imaging centers MRI and radiology centers Diagnostic labs Sleep centers Dialysis centers Fertility clinics Women’s health clinics Men’s health clinics Rehab centers Addiction treatment centers Home healthcare agencies Hospice providers Assisted living facilities Skilled nursing facilities Nursing homes Senior care providers Behavioral health facilities ABA therapy providers Autism treatment centers Pharmacies Compounding pharmacies Medical supply companies Durable medical equipment providers Orthotics and prosthetics providers Veterinary clinics Med spas IV therapy clinics Wellness clinics Telehealth providers Mobile medical services Non-emergency medical transportation companies Healthcare staffing agencies Billing and revenue cycle management companies Healthcare IT service providers Laboratory service providers Retail Commercial Real Estate Construction Other Time In Business Time in Business Less than 6 months 1 year 2 years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years + Annual Sales Anuual Sales Less Than $50,000 $50,000-$120,000 $120,000-$360,000 $360,000-$1,000,000 $1,000,000-$1,800,000 $1,800,000-$3,000,000 $3,000,000-$6,000,000 $6,000,000-$10,000,000 $10,000,000+ Type of Financing Requested- Choose All That Apply Accounts Receivable Business Line Of Credit Bridge Loan Commercial Real Estate Loan Construction Loan Equipment Financing Franchise Financing Inventory Financing Merchant Cash Advance Purchase Order Financing SBA Loan Term Loan Working Capital Unsure Other *Click to accept By Submitting this form, You agree to be contacted by a Loan Advisor to discuss your options. Submit