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Online Forms

At The Vision Learning Center of Champions, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.  Please download and print the HIPAA, medical release and teacher questionnaire if applicable.  The other history forms can be found below and filled in and submitted online.  

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

HIPAA Form

Download Form

Authorization to Release Medical Information

Download Form

Patient Symptom Checklist

Download Form

Teacher Questionnaire

Download Form


Download the Free AdobeReader®

Locations

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Office Hours

Our Regular Schedule

Monday:

9:00-12:30

1:30-5:30

Tuesday:

9:00-12:00

1:00-6:00

Wednesday:

9:00-12:00

Closed

Thursday:

9:00-12:00

1:00-6:00

Friday:

9:00-12:30

1:30-5:30

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonials

Reviews From Our Satisfied Patients

  • "I love Dr. Davis! She's absolutely awesome and very passionate about vision therapy"
    -C.W. Spring, TX
  • "Thank you so much for your help. I'm sure you get this all the time, but what you do really does change people's lives"
    S. H. Spring, TX