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Can be purchased by fax: 409-515-1945 or phone: 409-363-3960
with credit card or by mail with a check.
Click here to print the order form.
Contact Vision Quest 409-363-3960 or fax 409-515-1945
 Low Vision Assessment Form-
This form facilitates adequate documentation for assessing low vision patients that includes all of the basic visual component skills as well as magnification needs and referral options. Includes one reproducible form.
$30.00 + 7.95 shipping and handling
 ADL/IADL Checklist-
This comprehensive checklist inlcudes all of the ADL/IADL components to aid the clinician in completing a comprehensive assessment for patients with visual impairments. Includes one reproducible form.
$25.00 + 7.95 shipping and handling
 Home Safety Assessment-
This comprehensive home evaluation will aid the clinician in making appropriate recommendations for environmental modifications to increase safe functioning within the home of patients with low vision. Includes one reproducible form.
$25.00 + 7.95 shipping and handling
 Near Acuity Test Card-
This test card provides notations of acuity ranges from 1M - 10M (20/20 - 20/500) with equivalents for magnification needs when testing at 40cm (16 inches)
$30.00 + 7.95 shipping and handling
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Vision Trax: Low Vision Interventions:
A Clinicians Quick Reference Guide in
Low Vision Rehabilitation for Immediate
Application with the Aging Adutt -
Description. Vision Trax is an instruction manual for treating patients with low vision focusing on the geriatric and diabetic population. Included in this manual are step-by-step instructions for evaluation, treatment, environmental modifications, and use of low vision devices. This manual is formatted for quick reference for immediate program application. Also included is a low vision assessment form, ADL/IADL checklist, a home evaluation, and a screening tool, as well as documentation examples and a community resource manual.
$99.00 + $7.95 shipping and handling |
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