Request Appointment To request an appointment with Dr. Galaszewski, simply fill out the following form, and an email will be sent with your requested dates and info. She will get back to you shortly to finalize your appointment. Please be aware that Dr. Galaszewski is unable to guarantee the security and confidentiality of email communication through the internet. Therefore, please use this email service only to communicate to me about your basic information that is: Non-urgent or non-emergency. Urgent and emergency contact should only be done by my contact number and after following the appropriate directions provided for such calls. Minimally personal and identifiable to help protect your privacy. Please provide very basic information of your concerns using only your first name, phone number, and how I can reach you directly. Name* Email* Phone Date Your Message Please leave this field empty.