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Patient Forms for Kung Plastic Surgery in Chevy Chase, MD



Patients are seen on an appointment basis, and we reserve time specifically with you and the doctor or hygienist. We ask that you complete an online appointment request or call in advance so that we may reserve an appointment time for you.

If you are a new patient to our office, the link below contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing forms, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please contact our office if you have any questions at all.

New Patient Forms


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Please Review Our Scheduling and Cancellation Policy Below


To schedule an appointment, please call:


** For new patients only, there is now a scheduling fee of $100.00 for cosmetic consultations.  You will be refunded the full amount upon arrival at Dr. Kung’s office, or you may apply this credit for any service or product offered by the office.

Cancel or Reschedule an Appointment

Please be courteous if you need to cancel your appointment! We ask that you inform us at least 24 hours in advance. This enables us to see other patients who are waiting for our medical care.

** IMPORTANT: If you cancel your appointment at least 24 hours in advance, you will be refunded the full amount of the scheduling fee ($100.00).  If you cancel your appointment less than 24 hours in advance, you will be refunded 75% of the scheduling fee.  If you reschedule, you will be refunded the full amount ($100.00) upon arrival at our office for the appointment.  If you miss your appointment without calling to reschedule, the $100.00 scheduling fee will NOT be refunded.


** IMPORTANT: A “no-show” is someone who misses an appointment without notice. In this instance, your $100.00 scheduling fee will NOT be refunded.

Please be aware that this policy reflects the fact that your time is as valuable as ours.