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At Neuro-Vision Associates of North Texas, 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.

  • 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.

All Patients:

Welcome to our Office (Required)
For Routine Care Patients: Financial Responsibility Policy (Required)

For Information Only:  Notice of Privacy Policies


School-age Patients - Visual Sensory:

NDEC Case History Form
Visual Efficiency Questionnaire
Financial Responsibility 

TBI Patients - Neuro-Optometric Rehabilitation:

TBI Questionnaire
Financial Responsibility  


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