[email protected]       (212) 265-4609
Midtown Vision Development Center
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  • VISION THERAPY
    • What is Vision Therapy?
    • Vision and Learning
    • Symptoms To Look Out For
    • Sports Vision
    • Preventing and Controlling Myopia (Nearsightedness)
    • FAQ
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    • Success Stories
  • CONTACT
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History Forms
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Please fill out the following applicable history form and bring it with you the day of your appointment. 

Patients 4 and under.
Toddler History Form
File Size: 83 kb
File Type: pdf
Download File

Patients 5-17 years old.
Child History Form
File Size: 74 kb
File Type: pdf
Download File

Patients 18 and over.
Adult History Form
File Size: 81 kb
File Type: pdf
Download File

Office Location

551 5th Ave, 2nd Floor
​New York, NY 10176

What Our Clients Are Saying

"Our daughter is a very good student who used to breeze through all her assignments except those requiring extensive reading. Long history or science assignments caused her great anxiety and took a long, long time to accomplish. Since she had Vision Therapy, she has been handling her reading packets easily and best of all happily. She has easily reduced her homework time to an hour! Similarly, she is a good athlete a gymnast and a swimmer who could never make any team sport requiring hand-eye coordination. She now feels comfortable pitching, and catching, and making baskets. Finally, she no longer gets car sick. Vision Therapy is the greatest." (read more...)

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Contact
​

Phone: 212-265-4609
E-Mail: [email protected]

​(read more...)