To make an appointment

Please call 847-323-9297 or submit the following form:

Your Name: *

Requested Date: *

Requested Time: *

Which office: *

Wilmette

Chicago

Your Phone Number: *

Your Email Address: *

Are you a new patient: *

Yes

If yes, referred by:

Name of doctor, friend, media, or just type 'web' for internet search

Do you prefer to be contacted by phone or email: *

Phone

Either

Briefly state your chief concern for this visit:

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question: * 13 + 2 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Lok-Kwan Acupuncture, Qigong, Shiatsu