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Located 2 miles east of the expressway on 23 Mile Rd
In the Spectrum Professional Building in New Baltimore, Michigan

Vision Therapy Center at New Baltimore Optometry
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Vision Therapy Online Assessment

  • Many kinds of vision problems reveal themselves most easily in behavior, posture and attitude. These signs are usually associated most closely with long periods of visual work done at less than arm’s length from a child’s eyes. You can easily identify vision problems simply by observing your child and marking this checklist. If you mark more than a few signs, there is good reason to suspect a vision problem.

  • Please enter your name.
  • Please enter your child's name
  • Please enter your child's date of birth.
  • Please check the signs that best describe your child:

  • General Behavior:

  • We recognize that there are many components that affect a child’s learning ability and behavior. However, the information in this personal history form is highly accurate in predicting the presence of vision and/or vision processing problems. A comprehensive vision screening- which targets visual processing and developmental skills, is essential in determining how much vision is affecting your child’s performance and behavior. We provide these screenings at no charge.