request an appointment 

For your convenience, we offer SATURDAY appointments in our Munster office!  

To request an appointment, please fill out the form below to send a message directly to our front desk staff. We will get in touch with you to confirm the details of your appointment. If you prefer to speak with someone directly instead of using this form, you may call us at 219.513.9415 (Munster office) or 219.769.7060 (Merrillville and Valparaiso office). Thank you for your interest in our practice, and we look forward to meeting you!

Name *
Which provider would you like to see? *
Which location do you prefer? *
Please list insurance company name, policy number, and group number. If you do not have insurance, please write "Self Pay."
Phone *
Address *
Date of birth *
Date of birth
Which contact method do you prefer? *

Dermatology Associates of Northwest Indiana, PC

Merrillville phone: 219.769.7060
Munster phone: 219.513.9415