Appointments Requests

NOTE: THIS WEBSITE IS NOT FOR EMERGENCIES. IF YOU ARE EXPERIENCING AN EMERGENCY, PLEASE CALL 911.

If you are a current patient and have questions about your care, or experiencing pain/vision changes/floaters/flashes, please call our office (919-659- 8436). If our phone lines are busy, PLEASE leave a message, and we will get back to you as soon as possible, or speak with the doctor on call (when calling after office hours).

For current patients only

To request a new appointment with us (alongside any other questions or inquiries) , please send us a message via our general inquiries/contact page.

For new patients

    To request appointment availability, please fill out the form below. Our scheduling coordinator will contact you within 3 business days to confirm your appointment. This site is NOT monitored for emergency care. Please call 911 if you are experiencing an emergency.

    Typically, our earliest available new patient appointment slots are 1 - 1.5 months from the date of appointment request. New Patients are seen everyday of the week except for Friday, and are scheduled for 7:30 am, 8:30 am, and 2:00 pm slots.

    Patient’s last name: *

    First: *

    Middle: *


    Street address: *

    City: *

    State: *

    Zip code: *


    DOB: *

    Email: *

    Phone: *


    Reason for consult :

    Primary Medical Insurance (and secondary/tertiary insurances if applicable). Please put in the Plan ID/number, Group number (if applicable), and dates issued for each : *

    Referring Doctor Name and Phone Number : *

    Preferred Appointment Time (this is for time of the day only - typically our earliest available new patient appointment dates are about 1-1.5 months from the date of appointment request) : *