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  • Concussion Survey

    We are experienced in treating vision deficiencies and other visual disturbances caused by Traumatic Brain Injury (concussion). If you or your child has been diagnosed and continues to have symptoms, vision therapy, prisms or other treatments may be recommended.
  • A recent study at Children’s Hospital of Philadelphia showed 50% of adolescents after concussion had problems with eye teaming, focusing or tracking that made returning to school or sports more difficult.

    Fortunately, many visual problems after concussion will resolve over time with rest and allowing the brain to heal. When visual symptoms persist, even if other symptoms such as dizziness or poor balance have resolved, visual therapy, also referred to as neuro-optometric rehabilitation, can be very effective.

    The survey below may assist the doctor in developing the best plan for treatment.  Check the box to the left of each question that best describes your answer.  You may print the form or submit your information to our office upon scheduling an appointment for a post-concussion consultation.     

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  • Answers may be printed for your records by clicking the "Print" button below.

  • You may also fill in your contact details below and hit the "Submit to our Office" button to forward your information to us in preparation for your next appointment. To schedule an appointment online, click here, or call our office at 212.410.1291

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