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 330-857-0246 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! 





Canton Office




Kidron Office

Hours of Operation

Canton Office

Monday:

Closed

Tuesday:

Closed

Wednesday:

9:00 am-6:00 pm

Thursday:

Closed

Friday:

9:00 am-6:00 pm

Saturday:

9:00 am-1:00 pm

Sunday:

Closed

Kidron Office

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

Closed

Thursday:

9:00 am-6:00 pm

Friday:

Closed

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