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 AdobeReader® to download and complete the forms.
    • Download the required forms. Print out the forms and complete the required information.
    • Fax your completed forms to 330-313-3838 or bring them with you to your appointment.

Download the Free AdobeReader®

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 specialized vision 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! 

Kidron Office

Hours of Operation (Open by Appointment)

Our Office Hours




9:00 am-6:00 pm


9:00 am-6:00 pm


9:00 am-6:00 pm








Reviews From Our Satisfied Patients

  • ""It has greatly helped my headaches. I don't get nearly as many headaches and I feel better, too.""
  • ""I think that vision therapy has helped me a lot. I am more interested in reading and like to read for a longer time. My homework is also a lot easier. I can do it in less time and do not feel so frustrated when I am doing homework. I also have better grades in most subjects.""
  • ""My reading speed has increased and I finish my homework in less time. I don't feel so tired.""