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Patient Forms

To maximize your appointment time Christenson Vision Therapy Center has these forms available for download.

Release of Personal Health Information : This form is for those who would like us to send out their information to another facility.

Quality of Performance Survey : This is to be filled out for those who think they may need vision therapy. It helps the doctors determine how many visits may be needed for vision therapy.

Transportation Form : This is for patients who will have people other than their parents or guardians bringing them to and from vision therapy appointments.