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Vision Care
Specialty Care
- Myopia Management
- Vision Therapy
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Vision Therapy Referral

Referring Doctor Information:

Patient Information:

(Please include the patient’s chart notes and demographic information)

Patient Information:

Main Reason For Referral:

General concern - please evaluate

Other Pertinent Visual Signs/Symptoms/Exam Findings: (check all that apply)

Blurred VisionEye Fatigue/StrainHeadachesPoor Eye TrackingPoor Depth PerceptionPoor CoordinationPoor Reading: Speed/Fluency/AccuracyDecreased Attention/ConcentrationConcussion/Brain InjuryDizziness/VertigoAmblyopia (Lazy Eye)Strabismus (Wandering Eye)

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What happens next: You'll receive a written summary report after the initial evaluation, and after any plan changes.

75% of children achieved resolution of their binocular vision problem with office-based vision therapy (NEI-funded CITT trial)

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25800 Jeronimo Road, Ste 701
Mission Viejo, CA 92691

Phone:

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(949) 799-4333

Hours of Operation

Monday 8:00am - 5:00pm
Tuesday 8:00am - 5:00pm
Wednesday 9:00am - 5:00pm
Thursday 8:00am - 5:00pm
Friday 8:00am - 3:00pm
Saturday Closed
Sunday Closed

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At Project Eyecare Optometry, we provide the highest quality eye care to all our patients. Schedule your appointment today.

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