Welcome to Triad Eye Institute

To schedule an appointment, please call (918) 252-2020 or fill out the form below and a representative will contact you soon.

Click HERE to see our clinic locations.

Request an Appointment

• First Name*
• Last Name*
• Date of Birth*
• Email Address*
• Address
  Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Phone*
• Insurance Carrier
• Corporate Benefit Program Code (if applicable)
• What procedure are you interested in?*
  LASIKCataract RemovalICL - Implantable Collamer LensRLE - Refractive Lens ExchangeOther
• **Please be advised that cataract removal surgery must be scheduled within 90 days of evaluation.**
• How did you hear about Triad Eye Institute?*
  OptometristPhysicianTV CommercialRadio CommercialNewspaper or Magazine AdSocial MediaFriend or RelativeOther
• Email
  This field is for validation purposes and should be left unchanged.