QIN ACUPUNCTURE & CHIROPRACTIC CLINIC 855 E. Palatine Rd. Ste. 170 • Palatine, IL 60074-5500 •
Phone: (847) 202-9988 • Fax: (847) 202-9795
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CONTACT US |
Contact Information Our Clinic is Located at: 855 E. Palatine Rd. Ste. 170 Palatine, IL 60074-5500 Office phone: (847)202-9988 Office fax: (847) 202-9795 Email: qinacupuncture@yahoo.com Website: www.qinacupuncture.com Your first appointment... If you have insurance, please remember to bring your insurance
card. You will be asked to fill out a five page patient registration form.
You may do that ahead of time by downloading and printing the following
documents. Please fill out all five pages completely to the best of your
knowledge. |