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PATIENT ORDER FORM COMPUTER ORTHOPTICS HOMEBASED VERGENCE EXERCISES Your eye doctor has determined that you suffer from a convergence insufficiency or other eye muscle imbalance and therefore you.

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How to fill out the Computer Orthoptics Cvs Program online

This guide provides clear and supportive instructions on how to complete the Computer Orthoptics Cvs Program form online. Follow these steps to ensure accurate submission and start benefiting from the CVS home exercise program for your eye muscle coordination.

Follow the steps to complete your CVS program order form

  1. Press the ‘Get Form’ button to retrieve the form and access it in your preferred editor.
  2. Begin by providing your personal information in the ‘Patient Information’ section. This includes your name, email address, and a complete mailing address.
  3. Next, enter your eye doctor’s information in the ‘Your Doctor’s Information’ section. Ensure that you include their name, email, and address details as required.
  4. Indicate the item you wish to order by filling in the ‘ITEM’ section for the CVS Kit, along with the desired quantity.
  5. Review the pricing details, including the base price of the CVS kit and additional shipping costs. The total price will need to be calculated accurately.
  6. Input the name as it appears on your credit card, along with the credit card number, 3-digit security code, and expiration date.
  7. After completing all fields, save your changes. You may then choose to download, print, or share the form for submission.

Complete your order for the Computer Orthoptics Cvs Program online today!

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Based on the results of both of the studies mentioned above, indications are that pencil pushups, the most frequently used treatment for convergence insufficiency, are not effective in achieving clinically significant improvements in symptoms in either children or young adults.

Focus on the tip of the pen and make sure it is single and clear. Move the pen slowly towards your nose making sure that the pen stays single for as long as possible. immediately but continue to look at it and use your eye muscles to “pull” the images together to make one pen again.

Computer Orthoptics includes complex stimuli, which allow automatic testing and measurement of eye movements, fixation, suppression, visual memory and depth perception.

If you can get the pen to touch your nose and still keep it single, hold this position for two seconds then relax. If you cannot keep the pen single, move it back to arm's length and start again. Repeat this for one minute (or 20 cycles) then relax the eyes by looking in the distance for one minute.

With both eyes, look at the dot which is furthest away from your nose. If this dot appears as a single dot, the rest of the dots will make an 'A' shape (as shown below). If you see two dots or have double vision, you will need to refocus your eyes until you see a single dot.

Exercise Steps Sit or stand straight and look at a far off small object. Hold out a pen at an arm's length and look at its tip. Slowly bring the tip close to your eyes, keeping the tip at level with your eyes. Hold the tip for about 10 seconds at the point where you feel some strain or heaviness in the eyes.

1:54 4:55 Pencil Push-Up Eye Exercises & Vision Therapy - YouTube YouTube Start of suggested clip End of suggested clip And it's very simple you don't need to print anything if you don't want to hold it arm's length.MoreAnd it's very simple you don't need to print anything if you don't want to hold it arm's length. Away. And as you bring it closer you're going to try to keep the image of the pencil.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232