Working with Chrysalis Finance.
Complete your application online
Select hospital
EMPI Number
What is this?
Your 8 digit Patient ID or EMPI can be found in your email, text or letter confirming your appointment. If you have trouble locating this, please contact us on
0800 096 2326
.
Title
Mr
Mrs
Ms
Miss
Dr
Rev
Sir
First name
Last name
Gender
Male
Female
Treatment cost
You can no longer submit an application through the classic portal. Visit the new portal to submit a new application:
https://cfl-retailer.chrysalisfinance.com/
