Share Your Success Story


     Your success is our success. Vision therapy improves so many lives.
     If you have experienced the life changing effect of vision therapy please share your story with us!


      First Name*
      

      Last Initial*
      

      Email*
      

      City*
      

      State*
      

      Zip Code*
      

      Vision Problems Treated*
      Ctrl/Click to select more than one.
      

      Share Your Experience*
      

      How Would You Rate Your Experience?*
      On a scale of 1 to 5, 5 being very satisfied