The Mind-Eye Connection
The Mind-Eye Connection: Traditional Vision Care and Beyond
Traditional Eye Care
Developing connections
Re-Developing Connections
Promoting Awareness
Home
The Mind-Eye Overview
What Are Your Symptons?
Expert Witness Testimony
Meet Our Team
Treatment Approaches
International Research and Education
Workshops and Seminars
Additional Resources
Publications
What's New
Contact Us
Facebook
Contact Us

DIRECTIONS             MAPQUEST LINK             WHICH INTAKE FORM SHOULD I FILL OUT?

WHICH INTAKE FORM SHOULD I FILL OUT?
Since a thorough history is important, a complete intake form is required. If you are scheduling an appointment, please read below to select the appropriate intake form for your needs.

Traditional Eye Care:
       Teens & Young Adults
       Adults
       Geriatrics & Legally Blind

Beyond Traditional Eye Care:
       Infants & Toddlers
       Autism & Learning Problems
       Brain Injury & Rehabilitative Care





Traditional Eye Care ... And Beyond Click on the
appropriate
photo for the
intake form.

Teens & Young Adults Adults Geriatrics & Legally Blind Infants & Toddlers Autism & Learning Problems Brain Injury & Rehabilitative Care

Open Your Eyes and Listen
Copyright ©2009-2012 The Mind-Eye Connection, P.C.    All rights reserved.