• Appointment Scheduling: When scheduling an appointment, you must complete your paperwork online after we email the link to you. If unable to complete the paperwork online, please arrive 15 minutes before your appointment to complete it at Ong Institute.
• Cancellations: We dedicate our time and attention to you when you schedule an appointment. Therefore, if you do not show up or cancel on short notice, it will result in a cancellation charge.
• Late Arrivals: If you are late for an appointment, we may have other patients scheduled after you, resulting in a shortened service or inability to accommodate you at that time.
Payment Policy, Returns & Refunds
• Payment: All services and products are the responsibility of the patient. Payment is due in full at the time services and products are rendered, or upon other written agreement. We accept cash, MasterCard, Visa, American Express, Discover credit cards, and debit cards displaying the MasterCard , Visa or American Express logo. We also accept cashier’s checks and wire transfers; please contact the concierge team for wire transfer information. All payments must be received prior to providing services.
• Refunds: No refunds will be issued for gift cards, or gift certificates, and these cannot be exchanged for cash. Refunds for payments for professional services and treatments, will be processed with a 10% administrative charge subject to the terms and conditions of the purchase. Products may be returned for Ong Institute office credit only if returned within 10 days of original purchase and if unopened, undamaged, and unused.
• Special Pricing: If special pricing is being offered, only one discount can be applied per transaction. Discounts cannot be combined.
For additional details regarding payments, fees, and additional policy information see our Payment Policy Fees
Payment Plans
• Availability: Payment plans are available upon request. Please contact our concierge team to discuss options and set up a plan that fits your needs. All payment plans must be agreed upon in writing and payments must be kept current to continue receiving services.
CareCredit
• Overview: CareCredit is a health, wellness, and beauty credit card designed to help you finance your treatments and procedures. CareCredit offers flexible financing options with promotional periods where you can make payments without incurring interest, provided you meet the terms of the promotional period. This enables you to get the treatments you want now and pay over time. For more information on CareCredit and to apply, please visit the CareCredit website.
No Gratuity + No Commission
• Compensation: Ong Institute team members do not receive gratuity or commissions. Our professional team delivers exceptional services and provides recommendations with your best interest in mind.
No Children Zone
• Policy: Ong Institute is a no children zone to ensure peace and relaxation for our clients. Children under 18 cannot be left alone, and for safety reasons, children cannot accompany you during treatments.
TeamWork: Patient and Healthcare Provider Responsibilities
Patient Responsibilities:
• Ask questions, share your feelings, and be part of your care.
• Be honest about your history, symptoms, and other important information about your health.
• Inform your doctor about any changes in your health and well-being.
• Schedule accordingly based on the recommended care plan and follow your doctor’s advice.
• Make healthy decisions about your daily habits and lifestyle.
• Prepare for and keep scheduled visits or reschedule visits in advance whenever possible.
• Be respectful to office staff and healthcare providers.
• Treat our team with kindness. A warning will be given to anyone who belittles or berates a team member, and if the conduct persists, that person will be asked to pursue care with another healthcare provider.
• End every visit with a clear understanding of your doctor’s expectations, treatment goals, and future plans.
Healthcare Provider Responsibilities:
• Explain diagnosis, treatment recommendations, and outcomes in an easy-to-understand way.
• Listen to your questions and help you make decisions about the direction of your care.
• Keep treatments, discussions, and records private.
• Provide instructions on how to meet your healthcare needs when the office is not open.
• Determine when a breakdown of the doctor-patient relationship is justification for terminating care.
• Determine when referral to another provider or specialist is appropriate.
• End every visit with clear instructions about expectations, treatment goals, and future plans.
• Share patient information with other providers involved in your healthcare, as appropriate.
Acknowledgment
I certify that I have read or had read to me the TeamWork: Patient and Healthcare Provider Responsibilities. I understand the possible advantages that compliance with professional healthcare recommendations can provide as well as potential consequences of non-compliance. I attest that I have had the opportunity to ask questions and all of my questions have been answered to my satisfaction.
Website Content
• Disclaimer: The information on this website has not been evaluated by the FDA and is provided for general information only. It is not intended as a replacement for advice from your physician. Ong Institute assumes no liability for any errors or omissions in the website content. Services and products are not guaranteed to cure or prevent any disease or health problems.
HIPAA Compliance
• Communication: Ong Institute requires that each patient opt-in to communicate via encrypted HIPAA compliant channels it provides such as phone, sms, and email. Patients are required to update their contact information should they wish to continue communication regarding their services and history with Ong Institute.
You have the following rights regarding the PHI that we maintain about you:
Confidential Communication. You have the right to request that our practice communicate with you about your health and related issues in a particular manner or at a certain location. For instance, you may ask that we contact you at home, rather than work. In order to request a type of confidential communication, you must make a written request to the Privacy Officer specifying the requested method of contact and/or the location where you wish to be contacted. Our practice will accommodate reasonable requests. You do not need to give a reason for your request.
Requesting Restrictions. You have the right to request a restriction in our use or disclosure of your PHI for treatment, payment, or healthcare operations. Additionally, you have the right to request that we restrict our disclosure of your PHI to only certain individuals involved in your care or the payment for your care, such as family members and friends. We are not required to agree to your request; however, if we do agree, we are bound by our agreement except when otherwise required by law, in emergencies, or when the information is necessary to treat you. In order to request a restriction in our use or disclosure of your PHI, you must make your request in writing to Ong Institute, 9377 E Bell Road, Suite 363, Scottsdale, AZ 85260. Your request must describe in a clear and concise fashion: – The information you wish restricted; – Whether you are requesting to limit our practice’s use, disclosure, or both; and – To whom you want the limits to apply.
Inspection and Copies. You have the right to inspect and obtain a copy of the PHI that may be used to make decisions about you, including patient medical records and billing records, but not including psychotherapy notes. You must submit your request in writing to Ong Institute, 9377 E Bell Road, Suite 363, Scottsdale, AZ 85260 in order to inspect and/or obtain a copy of your PHI. Our practice may charge a fee for the costs of copying, mailing, labor, and supplies associated with your request. Our practice may deny your request to inspect and/or copy in certain limited circumstances; however, you may request a review of our denial. Another licensed healthcare professional chosen by us will conduct reviews.
Amendment. You may ask us to amend your health information if you believe it is incorrect or incomplete, and you may request an amendment for as long as the information is kept by or for our practice. To request an amendment, your request must be made in writing and submitted to: Ong Institute, 9377 E Bell Road, Suite 363, Scottsdale, AZ 85260. You must provide us with a reason that supports your request for amendment. Our practice will deny your request if you fail to submit your request (and the reason supporting your request) in writing. Also, we may deny your request if you ask us to amend information that is in our opinion (1) accurate and correct; (2) not part of the PHI kept by or for the practice; (3) not part of the PHI that you would be permitted to inspect and copy; or (4) not created by our practice, unless the individual or entity that created the information is not available to amend the information. Do not discuss medical or personally identifiable health information via email, as it is not secure or HIPAA compliant. Email should not replace an appointment or consultation with our team. Please allow up to 3 days for email responses. For urgent matters, call us directly.
Accounting of Disclosures. All of our patients have the right to request an “accounting of disclosures.” An “accounting of disclosures” is a list of certain non-routine disclosures our practice has made of your PHI. To obtain an accounting of disclosures, you must submit our request in writing to: Ong Institute 9377 E Bell Road, Suite 363, Scottsdale , AZ 85260. All requests for an “accounting of disclosures” must state a time period, which may not be longer than six years from the date of disclosure and may not include dates before November 15, 2015. The first list you request within a twelve-month (12) period is free of charge, but our practice may charge you for additional lists within the same 12-month period. Our practice will notify you of other costs involved with additional requests, and you may withdraw your request before you incur any costs.
Right to a Paper Copy of This Notice. You are entitled to receive a paper copy of our notice of privacy practices. You may ask us to give you a copy of this notice at any time. To obtain a paper copy of this notice, please contact the Privacy Officer.
Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our practice, contact: Ong Institute, 9377 E Bell Road, Suite 363, Scottsdale, AZ 85260. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
Right to Provide an Authorization for Other Uses and Disclosures. Our practice will obtain your written authorization for uses and disclosures that are not identified by this notice or permitted by applicable law. Any authorization you provide to us regarding the use and disclosure of your PHI may be revoked at any time in writing. After you revoke your authorization, we will no longer use or disclose your PHI for the reasons described in the authorization. Please note we are required to retain records of your care. If you have any questions regarding this notice or our health information privacy policies, please contact the Privacy Officer.
Notice of Privacy Practices Acknowledgement
I understand that under the Health Insurance Portability & Accountability Act of 1998, Health Information Technology for Economic and Clinical Health Act, Title VIII of the American Recovery and Reinvestment Act of 2009, and implementing regulations (collectively, “HIPAA”), I have certain rights to privacy regarding my protected health information. I understand that this protected health information can and will be used to:
• Conduct, plan and direct my treatment and follow up among the multiple healthcare providers who may be involved in that treatment directly and indirectly.
• Obtain payment from third-party payers.
• Conduct normal healthcare operations such as quality assessments and physician certifications. I acknowledge that I have received the Notice of Privacy Practices from Ong Institute which contains a more complete description of the uses and disclosures of my protected health information. I understand that Ong Institute has the right to change its Notice of Privacy Practices from time to time and that I may contact Ong Institute at any time to obtain a current copy of the Notice of Privacy Practices.
I understand that I may request in writing that the Ong Institute restrict how my protected health information is used or disclosed to carry out treatment, payment or health care operations. I also understand Ong Institute is not required to agree to my requested restrictions, but if Ong Institute does agree, then Ong Institute is bound to abide by such restrictions until such restrictions are terminated.
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