Forms

Developmental History
Please fill out for your child before their Visual Perceptual Evaluation
Developmental History.pdf
Adobe Acrobat document [251.5 KB]
Student Interview
Please have your child fill out this form prior to his/her Visual Perceptual Evaluation
Student interview.pdf
Adobe Acrobat document [200.3 KB]
Referral Request
Referring doctors should use this form when referring patients to our practice.
Referral_Request.pdf
Adobe Acrobat document [61.9 KB]
Notice of Privacy Policy
Our office HIPAA-compliant privacy policy.
Notice_of_Privacy_Policy_BH.pdf
Adobe Acrobat document [36.3 KB]
Neuro Eval Info and Questionnaire
Information about Neuro-Optometric Examinations, and a Questionnaire to complete before the exam.
Neuro Packet 2014.pdf
Adobe Acrobat document [293.3 KB]

Contact Us

In Depth Vision optometry
3240 Professional Drive
AUBURN, CA 95602

 

Phone: (530) 830-7007

 

Email: contact@indepthvision.com

 

Or use our contact form.

Watch this TED Talk about curing vision-related learning problems:

TED Talk Dr. Vicky Vandervort

Watch this TED Talk about how vision affects our sense of reality:

TED talk video Isaac Lidsky