Patient Forms for Kung Plastic Surgery in Chevy Chase, MD


Patients are seen on an appointment basis, and we reserve time specifically for you and the doctor. We ask that you 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

Adobe logoThis web site uses files in Adobe Acrobat Portable Document Format pdf logo (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: 301.986.8878

** For new patients only, there is now a scheduling fee of $100.00 for cosmetic consultations.

Cancel or Reschedule an Appointment

Please be courteous if you need to cancel your appointment! We ask that you inform us at least 2 days in advance. This enables us to see other patients who are waiting for our medical care.

** IMPORTANT: If you cancel DAYS prior to your appointment, you will be refunded the full amount of the scheduling fee ($100.00). If you cancel or reschedule your appointment THE DAY before, you will NOT be refunded. If you reschedule, your $100.00 will be credited for any treatment. 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.