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. To request your next appointment, please complete the form below and let us know the most convenient time and date for you. Please don't forget to include accurate contact details so we can follow up with you to finalize your request.Type of Appointment*Please ChooseGeneral OptometryDry EyeLipiflowIntense Pulsed Light (IPL)Medical Office VisitPatient Type New Patient Returning Patient Name* First Last Phone Number*Email Reason for Appointment Eyeglasses Exam Contact Lens Exam Medical Eye Exam Preferred Dates and TimesOur earliest appointment is 8:00 AM and latest is 4:00 PM. Please note we do not schedule appointments between 1:00 - 2:00 PM.Date MM slash DD slash YYYY Please check your preferred time: 8:00 AM - 10:00 AM 10:00 AM - 12:00 PM 12:00 PM - 1:00 PM 2:00 PM - 3:00 PM 3:30 PM-4:30 PM CommentsNo Show PolicyTriangle 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.NameThis field is for validation purposes and should be left unchanged.
