Free Screening Forms
Screening Forms
To take your free screening, you will need AdobeReader® to download the forms.
Adult’s Free Screening Form
Could you benefit from vision therapy? Fill out this free screening and see how vision may be affecting reading, work, driving, and life. Bring the form with you to your exam to save yourself time in our office. Dr. Cook will need the information to tailor your care.
Children’s Free Screening Form
Could your child benefit from vision therapy? Fill out this screening form to discover how vision may be affecting your child’s reading, learning, and life. Bring the form with you to your child’s examination to save yourself time in the office. Dr. Cook will need the information to tailor your child’s care.
Check Out Our Resources
Dr. Cook’s Publications:
- Authored books VISUAL FITNESS and WHEN YOUR CHILD STRUGGLES.
- Published articles in top optometric journals.
- His article “Eyesight, infinity and the human heart” was voted “Best Non-Technical Article” by the Association of Optometric Editors.
When Your Child Struggles
Visual Fitness
