• Triage Form

    Please provide additional information below to help us provide the best care and determine the urgency of your concerns. After completing, our team will contact you to schedule or collect more detailed information if needed.
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  • Thank you for providing this important information.

    Our doctors and team will review this information and contact you as soon as possible. If this form is received during normal business hours, we will contact you the same day. Our normal business hours are Monday through Friday 8am-5pm EST. If this form is received before or after normal business hours, we will contact you as soon as normal business hours resume. If this is a vision threatening or life threatening emergency, we recommend you seek care immediately at your nearest emergency department.
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