At the Gailmard Eye and Laser Center, we understand that you may have questions or concerns about your vision. Please use the form below to tell us how we can help you.  Please remember to fill out the areas about your name and phone number so we can contact you.

Your Name:

 

  

Phone Number:

 

  

E-mail Address:

 

  

Your Concern:

 

Would you like us to call you and help make an appointment?

Yes

 

No

 
          

 
     
     
     

 

  

 
     

Gailmard Eye & Laser Center, 630 Ridge Road, Munster, IN 46321, Phone (219) 836-1738, Fax (219) 836-2822
| Home | Our Facility | Our Doctors | Eye Care | Laser Surgery | Optical Center | Policies | Contact Us | E-Mail Us | Links |