Please complete our patient form before your appointment to ensure a seamless visit.
New Patient Forms
For Child
By completing our child form, we can better understand your child’s eye health history and current vision concerns, ensuring a personalised and effective treatment plan.
For Adult
By completing our adult form, we can assess your eye health history and current vision concerns, helping us provide more effective and tailored care.
Additional Surveys
Please complete all surveys relevant to your condition.
Brain Injury Vision Symptom Survey
(BVISS)
Has your child had a recent head injury? The Brain Injury Vision Symptom Survey assesses visual symptoms like blurred vision and light sensitivity, helping your optometrist diagnose and improve recovery.
Convergence Insufficiency Symptom Survey (CISS)
Is your child experiencing eye strain, double vision, or reading difficulties? The Convergence Insufficiency Symptom Survey helps assess symptoms of convergence insufficiency, guiding your optometrist in diagnosis and treatment.
Myopia Risk Survey
Worried about your child’s myopia risk? Our quick survey evaluates factors like family history, screen time, and outdoor activity. This helps your optometrist assess potential risks and provide personalised advice on managing myopia.
Classroom Vision Checklist
Concerned your child may have a vision problem? Use our Vision Screening checklist to help identify potential issues, ensuring a supportive learning environment.
DVIP Questionnaire
How does your child’s vision affect their development and learning? The DVIP questionnaire evaluates visual processing skills, helping identify potential deficits that may impact their performance in school and sports.
Ocular Surface Disease Index Survey (OSDI)
Do you experience eye discomfort? This survey assesses symptoms of ocular surface diseases like dry eye syndrome, helping your optometrist evaluate your eye health and guide treatment.
Visual Snow Syndrome Checklist (VSS)
Do you see “static” in your visual field? The Visual Snow Syndrome Survey helps assess symptoms of Visual Snow Syndrome, aiding your optometrist in diagnosis and treatment planning.