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33A First Street Franceville, Ontario L9W 2C8 Tel: 5199408426 Fax: 5193411648 info HVDC.carports VISION PATIENT INFORMATION Name: Male / Female Date of Birth: (M/D/Y)Age: Address: City: Postal Code:
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How to fill out sports vision intake form

01
Step 1: Start by downloading the sports vision intake form from the website or obtaining a physical copy from the sports vision center.
02
Step 2: Read the instructions and understand the purpose of each section on the form.
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Step 3: Fill out your personal information such as full name, date of birth, address, and contact details.
04
Step 4: Answer the questions related to your medical history, including any previous eye conditions or surgeries.
05
Step 5: Provide details about your current sports activities, including the type of sport, frequency of participation, and any specific vision-related concerns or goals.
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Step 6: If applicable, include information about any previous sports vision training or assessments you have undergone.
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Step 7: Review the form to ensure all the required fields are completed and there are no errors or omissions.
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Step 8: Sign and date the form to indicate your consent and understanding of the information provided.
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Step 9: Submit the completed form to the sports vision center either in person or through email, following their specified guidelines.

Who needs sports vision intake form?

01
Athletes who are looking to improve their sports performance through enhanced vision.
02
Individuals with specific vision-related concerns or issues that may be impacting their sports performance.
03
Sports teams or organizations that want to assess and address the visual abilities of their players.
04
Coaches or trainers who want to provide personalized vision training or intervention for their athletes.
05
Individuals seeking professional guidance and recommendations to optimize their visual skills for their chosen sports.
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The sports vision intake form is a document used by athletes and sports organizations to gather and assess the visual performance and health of participants to ensure optimal performance in sports.
Typically, all athletes participating in organized sports programs, teams, or competitions are required to file a sports vision intake form.
To fill out the sports vision intake form, provide personal information, current visual acuity, any previous eye injuries, details about the sports played, and any additional visual concerns or symptoms.
The purpose of the sports vision intake form is to evaluate an athlete's visual capabilities and identify potential vision problems that could affect performance and safety in sports.
The form typically requires reporting personal information (name, age, sports participated in), visual history, current vision performance, and any visual symptoms experienced.
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