Patient forms

Make your appointment at our office more timely with these tips. Complete the forms, sign them, and either bring them with you or send them to us by fax at (661) 775-9627.

forms

General Adult Form

General Child Form

General Infant/Toddler Form (*to be used for children 3 years and younger)

Supplemental Adult Strabismus Form

Supplemental Child Strabismus Form

Supplemental PRE Sensory Learning Program Form

Supplemental POST Sensory Learning Program Form

Teacher Questionnaire

Neuro Vision Rehabilitation Patient Form

Patient History Update Form

General Adult Form
General Child Form
General Infant/Toddler Form (*to be used for children 3 years and younger)
Supplemental Adult Strabismus Form
Supplemental Child Strabismus Form
Supplemental PRE Sensory Learning Program Form
Supplemental POST Sensory Learning Program Form
Teacher Questionnaire
Neuro Vision Rehabilitation Patient Form
Patient History Update Form
Cataract Surgery
Cataract Surgery
Cataract Surgery
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Blog

Strong Headache Is Very Problematic

Vision Therapy for Concussion Recovery: Enhance Healing and Visual Function

It is estimated that up to 90% of patients who experience a concussion may encounter some form of vision-related symptoms or problems. Concussions are a common type of brain injury that can cause a range of symptoms, including headaches, dizziness, and blurred vision. While rest and avoiding physical activity are often recommended for concussion recovery, […]

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Maintaining Optimal Eye Health: Signs You May Need New Glasses

Good eyesight is essential for our daily lives, whether it's for driving, reading, or simply enjoying the scenery around us. If you wear glasses, ensuring your prescription is up-to-date is crucial, as failing to do so can lead to headaches, eyestrain, and other vision-related problems. In this blog post, we'll discuss the signs indicating you […]

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Man Applying His Contact Lens

Colored Contact Lenses: Safety, Risks, and Proper Care for Your Vision

Colored contact lenses have gained popularity in recent years as a way to change or enhance one's eye color. While they can be a fun way to experiment with different looks, some people may have concerns about the potential risks to their vision. In this blog, we will explore whether colored contact lenses can harm […]

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Sunday
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Location
123 STREET CITY,STATE ZIP
Fax
999-888-7777
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