*If requested by practitioner

All new patients must make an initial appointment by calling 847-998-8860, download and complete the first 6 Health History forms below (green links). Females please fill out the female questionnaire (orange link). If requested by Claudette, please complete the final two forms (blue link). We can also mail or email the forms to you upon request.  Please bring copies of pertinent lab reports and studies to your initial appointment or email them to appointment@claudettebaker.com

New Patient Forms

Claudette Baker L.Ac., Acupuncture & Oriental Medicine

Call Us:  847-998-8860