Forms & Downloads
Forms & Downloads

Pre-Examination Forms

Referrals forms and pre-examination PDFs help patients prepare before visiting Calgary Vision Therapy. Download the appropriate form for your evaluation, or contact us if you are unsure which form to use.

A) Learning Difficulty – Visual Information Processing

Evaluation pre-examination forms (PDF).

2021 Child Visual Information Processing forms

PDF

For children (visual information processing).

2021 Child Strab BV Visual Information Processing Forms

PDF

For children (Strab BV).

2021 Adult Visual Information Processing Evaluation forms

PDF

For adults (evaluation forms).

B) Strabismus, Amblyopia, Lazy Eye

Pre-examination forms (PDF).

2021 Child Strabismus Amblyopia forms

PDF

For children.

2021 Adult Strabismus Amblyopia forms

PDF

For adults.

Binocular Coordination, Accommodative Dysfunction

Pre-examination forms (PDF).

2021 Child Binocular Vision Evaluation forms

PDF

For children (binocular evaluation).

2021 Adult Binocular Evaluation forms

PDF

For adults (binocular evaluation).

Downloads

Traumatic Brain Injury / Post-Concussion

Pre-examination forms (PDF).

2021 Traumatic Brain Injury Child forms

PDF

For children.

2021 Traumatic Brain Injury forms for adult

PDF

For adults.

Scroll to Top