Request an Assessment

Request an Assessment - Vision Therapy - Sports Vision Training

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Request An Assessment

Please complete the form below and one of our team members will reach out to you within one business day.

Today's Date

Patient Full Name

Patient Date of Birth

Guardian Full Name (if minor)

Phone Number with Area Code

Why does this person need an evaluation? (Check all that apply.)

Amblyopia/Lazy Eye Concussion/TBI Dizziness/Vertigo Double Vision Eye Fatigue/Strain Eye-Hand Coordination Focusing Disorder Headaches Memory/Concentration Motion Sickness Perceptual Disorder Poor Eye Movements Poor Depth Perception Poor Handwriting Poor Left/Right Awareness Reading Difficulty (Speed, accuracy, fluency, or comprehension) Sports Vision Training Strabismus/Eye Turn Other

If other, please elaborate.

Hours & Location

Monday	9:00 am - 5:30 pm
Tuesday	9:00 am - 5:30 pm
Wednesday	9:00 am - 5:30 pm
Thursday	9:00 am - 5:30 pm
Friday	9:00 am - 5:30 pm
Closed for lunch from 12:30 pm - 1:30 pm
Saturday	Closed
Sunday	Closed

1605 Rock Prairie Rd. #214

College Station, TX 77845

979.541.2739

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