The office of Chong Aesthetic & Implant Dentistry is dedicated to protect the privacy rights of our patients and the confidential information entrusted to us. The commitment of each employee to ensure the your health information is never compromised is a principal concept of our practice. We may, from time to tome, amend our privacy policies and practices but will always in form you of any changes that might addict your rights.
Policy information includes protection of your personal healthcare information, collecting protected health information, disclosure of your protected health information, your patient rights and more.
Please choose the link below to print, review, then sign the form and indicate your disclosure preferences.
If you have any questions, please call our office: Federal Way Office Phone Number 253-946-6361.
This form is in PDF format. If you do not have Adobe Reader installed on your computer, you may download Acrobat Reader for free and use it to access the form.