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OPTOMETRY VISION THERAPY REFERRAL/CONSULTATION FORM REFERRAL TO: Alderwood Vision Therapy Center, LLC 16006 Ash Way, Suite 101 Lynnwood, WA 98087 Phone: (425) 7875200 Fax: (425) 7875252 www.alderwoodvisiontherapy.com
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How to fill out sports vision evaluation

How to fill out sports vision evaluation:
01
Begin by gathering all necessary forms and documents for the evaluation, such as a Sports Vision Evaluation Questionnaire.
02
Carefully read through the questionnaire and instructions provided to ensure you understand the purpose and requirements of the evaluation.
03
Start by filling out your personal information, including your name, age, and contact details.
04
Answer any general health questions, such as whether you wear corrective lenses or have any existing eye conditions.
05
Proceed to the specific sports-related questions, which may inquire about your sports activities, previous eye injuries, and any visual difficulties experienced during sports.
06
Provide detailed responses to the questions regarding visual abilities required for sports performance, such as depth perception, peripheral awareness, and eye-hand coordination.
07
If required, complete any additional tests or exercises as instructed, such as visual acuity measurements or depth perception assessments.
08
Ensure all sections of the evaluation form are properly filled out and reviewed for accuracy before submitting.
09
Follow any additional instructions provided, such as returning the evaluation form to a specific location or scheduling a follow-up appointment for further assessment.
Who needs sports vision evaluation:
01
Athletes seeking to enhance their sports performance may benefit from a sports vision evaluation.
02
Individuals who participate in sports that require excellent visual skills, such as baseball, tennis, or basketball, may benefit from assessing their visual abilities.
03
Athletes with previous eye injuries or visual difficulties during sports activities may require a sports vision evaluation to identify potential visual impairments and develop appropriate interventions.
04
Individuals considering a career in professional sports or aiming to reach higher levels of athletic performance may undergo a sports vision evaluation to gauge their visual capabilities and seek strategies for improvement.
05
Anyone who wants to optimize their visual skills and overall performance in sports can choose to undergo a sports vision evaluation as part of their training and development.
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What is sports vision evaluation?
Sports vision evaluation is a comprehensive assessment of an athlete's visual abilities and skills that are crucial for sports performance.
Who is required to file sports vision evaluation?
Athletes participating in sports that rely heavily on visual perception and hand-eye coordination are required to file sports vision evaluation.
How to fill out sports vision evaluation?
Sports vision evaluations are typically conducted by qualified optometrists or ophthalmologists using specialized tests and equipment.
What is the purpose of sports vision evaluation?
The purpose of sports vision evaluation is to identify any visual deficiencies or strengths that may impact an athlete's performance and to provide recommendations or interventions to improve visual skills.
What information must be reported on sports vision evaluation?
Sports vision evaluations should include information on visual acuity, depth perception, eye tracking, eye teaming, and other visual skills relevant to sports performance.
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