Please share your success with others! We have enjoyed treating you/your child and are pleased that you have seen improvement in your/his/her performance. Patients/Parents often notice that improved visual function brings changes in reading, schoolwork, attention, behavior, sports, and even attitude. We would appreciate your description of any changes you have observed in your child as a result of vision therapy and would like your permission to share this information with others. Patient's Name*Date* MM slash DD slash YYYY Email* Phone*Would you recommend vision therapy to others?* Yes No Would you be interested in letting future patients/patient’s parents contact you for information about Vision Therapy and your experience while at South Tulsa Vision Development Center?* Yes No Success Story*EmailThis field is for validation purposes and should be left unchanged.