Academy Vision Science Clinic
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    • CRT
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patient  forms

Patient Forms

Patient Information
File Size: 341 kb
File Type: pdf
Download File

Medical Data
File Size: 454 kb
File Type: pdf
Download File

Clinic Policy
File Size: 595 kb
File Type: pdf
Download File

Visual Symptoms Checklist
File Size: 93 kb
File Type: pdf
Download File

The visual symptoms checklist is for patients who are interested in vision therapy testing. You do not need to print this form if you are coming in for a routine exam/contact lens fitting.
Contact Us
5955 Lehman Drive
Colorado Springs, CO 80918
Phone: 719-598-6000
Office Hours
Mon    9:00 am - 5:00 pm
Tue     9:00 am - 5:00 pm
Wed    9:00 am - 5:00 pm
Thu     9:00 am - 5:00 pm
Fri       9:00 am - 5:00 pm
Sat      9:00 am - 2:00 pm
Picture
​Notice of Privacy Practices
  • Home
  • Our Practice
  • Our Services
    • Vision Therapy
    • CRT
    • Special Events
    • Promotions
  • Patient Forms
  • Eye Care Articles
  • Contact Lens Reorder
  • Location