QIN ACUPUNCTURE & CHIROPRACTIC CLINIC
855 E. Palatine Rd. Ste. 170 • Palatine, IL 60074-5500 • Phone: (847) 202-9988 • Fax: (847) 202-9795
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
Your first appointment...
If you have insurance, please remember to bring your insurance card. You will be asked to fill out a four page patient registration form. You may do that ahead of time by downloading and printing the following documents. Please fill out all four pages completely to the best of your knowledge.