Make an Appointment: crlokken@doctorlokken.com | (812) 720-0904

crlokken@doctorlokken.com | (812) 720-0904
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Appointment Request

Please complete the form below to request a brief phone consultation.

I will try my best to accommodate your request and will be in touch ASAP.

By default, I reply via email. If you prefer a text message instead, please indicate this in your request. 

crlokken@doctorlokken.com

(812) 720-0904

3925 East Hagan Street, Bloomington, IN 47401

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.