Booking – Wenche Chung, MD and Kuoting Lee, L.Ac

Book an Appointment

Use the form below to book an appointment schedule an appointment with one of our staff members. Alternatively, you can call our offices at (626)623-6191 or email us at info@pcpdrchung.com to make an appointment.

Schedule Appointment with Practice:

First Name:

Middle Name:

Last Name:

Date of Birth:

Insurance Company:

Policy Number:

Email Address:

Phone:

Main Complaint:

ADDITIONAL FORMS

These additional forms are for your reference and may be required to be completed prior to your first visit with us.

Please click on the links provided to download the forms.

Patient Information Form
Acupuncture – Agreement to Arbitrate
Insurance Consent Form
Patient Medical Checklist

Wenche Chung, MD & Kuoting Lee, L.Ac

Book an Appointment

ADDITIONAL FORMS

CALL FOR AN APPOINTMENT

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