Online Email Consultation: In order for Dr. Li to have a clear picture of your situation, please fill out the short questionnaire below. If possible, attach photo(s) of the affected area at the bottom of this form. After you have submitted the form, you will receive a confirmation that your form was processed. The form will be sent directly to Dr. Li for her review. Please allow 1-2 business days for a response.**
Patient Name (if different)
Your Email Address: (Required)
Verify Email Address: (Required)
How long have you had Hives?
Which part of your body does the hives affect?
What type of Hives do you have?
Do you have any food allergy?
What symptom of Hives do you experience?
How Serious do you think your hives is?
Have you been taking any anti-histamine?
What time of the day do your hives come out?
How did you hear about us?
(such as Google, WebMD, etc..)
You may attach (optional) Pictures to help Dr. Li understand the situation: