Patient Symptom Surveys
Any patients seeking vision therapy are required to fill out this survey and submit it at least one week before their scheduled appointment.
Any patients seeking vision therapy who suffer from migraines should fill this out and submit it at least one week before their scheduled appointment.
Any patients seeking vision therapy due to a brain injury should fill this out and submit it at least one week before their scheduled appointment.
Patients seeking vision therapy who also suffer from dizziness should fill this out at least one week before their scheduled appointment.
For any patients, who are in school (K-12), who are seeking vision therapy. Please return this completed form at least one week before their scheduled appointment with Dr. Johnson.
For any patients, suffering from head trauma, who are seeking vision therapy. Please return this completed form at least one week before their scheduled appointment with Dr. Johnson.
For any patients, aged 0-4, who are seeking vision therapy. Please return this completed form at least one week before their scheduled appointment with Dr. Johnson.
For any adult patients who are seeking vision therapy. Please return this completed form at least one week before your scheduled appointment with Dr. Johnson.
Please submit completed forms by mail, fax, or email.
Email:
info@superioreye.com
Fax:
906-225-0460
Attn: Grace
Mail:
Superior Eye Health Center
Attn: Grace
2822 Venture Drive
Marquette, MI 49855