Request an Appointment

Please note this is an appointment request, our online scheduler will be contacting you to confirm this request within 24 hrs. You are not booking an appointment by submitting this request.

Patient Type *
Name *
Phone Number *
Email *
Reason for Appointment *
Vision Insurance Provider *
Medical Insurance Provider *

Preferred Dates and Times

Please note we do not schedule appointments between 1:00 - 2:00 PM.


*
Comments

Please provide if you are currently wearing glasses or contact lenses and what brand of lenses your in.

Cancellation Policy

Triangle Family Eye Care will assess a fee of $35 for anyone who schedules an appointment and fails to give our office a 48 hour cancellation notice. The same fee will be assessed for any no show appointments.

Retinal Imaging

If you are scheduled for a Routine Eye Exam, Retinal Imaging is required. Please call with any questions or concerns.

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