Accessibility View Close toolbar

Online Forms

At Cornerstone Vision Development Center, we value your time. To save you time, you can download and complete our patient form(s) prior to your appointment.

    • You will need AdobeReaderĀ® to download and complete the forms.
    • Download the required forms. Print out the forms and complete the required information.
    • Fax your completed forms to 330-857-0246 or bring them with you to your appointment.

Download the Free AdobeReaderĀ®


New Patient Forms 

Health History Form - Download Patient History Form            *required

Vision Symptoms Form - Download Symptoms Checklist       *required


Schedule Your Exam

Schedule Your Full Vision Exam 

Our comprehensive exam can reveal hidden vision problems behind frequent headaches, reading/writing struggles, and blurred or double vision. We want to help you see better so you can live better. 

We will test for eye health, acuity (ability to focus at a distance), convergence (ability to  turn eyes together), eye pursuits/saccades (eye movement ability), accommodation (ability to make vision clear), and visual processing (the connection between the visual system and the brain).  

Appointment Request - Schedule Your Exam

Questions? - Email or Call Us. We are here to help! 


Locations

Hours of Operation

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

9:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews From Our Satisfied Patients

  • "Thanks to Dr. Raber, I am now in the National Honor Society
    at my school. Before vision therapy, reading was very hard and studying for school was not enjoyable."
    KEITH/ KIDRON, OH