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.
New Patient Forms
Health History Form - Download Patient History Form *required
Vision Symptoms Form - Download Symptoms Checklist *required
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).