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Home Ā» Online Appointment Request Form

Online Appointment Request Form

If this is an emergency, do not contact us via email, please call 911 or go to the nearest emergency room.
  • Please note this is an appointment request; a staff member from the office will be contacting you to confirm this request. You are not booking an appointment by submitting this request.
  • Preferred Dates and Times

    Please note we do not schedule appointments between 1:00 - 2:00 PM.
  • MM slash DD slash YYYY
  • No Show Policy

    Triangle Family Eye Care will assess a fee of $35 for anyone who schedules an appointment and fails to give our office a 24 hour cancellation notice. The same fee will be assessed for any no show appointments.
  • This field is for validation purposes and should be left unchanged.