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Offices in Cedar Lake & Dyer. We proudly serve NW Indiana & S. Chicagoland.

Cedar Lake 219-374-7800
Home » Contact Us » Appointment Request Form

Appointment Request Form

Basic form for clients to request an appointment with the practice.
  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
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  • This field is for validation purposes and should be left unchanged.
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Office closure

Due to an unresolved utility problem, our Dyer location will be closed for two weeks, starting on February 24. All appointments will be moved to our Cedar Lake location. Please call 219-374-7800 if you need to speak to someone or to change an appointment.