Referral Form

Download Vision Therapy Assessment Referral


Please Fax this form to 905-875-5468


Our office will contact the patient to book an appointment.

Once the patient has completed their assessment a copy of their report will be faxed to your office.

We have patients visiting us from across Vaughan, Erin, Brampton, Guelph, Cambridge, Mississauga, Georgetown, Acton, Milton, Oakville, Burlington, Hamilton, and the surrounding areas.

For Optometry Services, Visit InDepth Vision In Milton, Ontario