Vision Therapy Practice Builder Manual








The following are commonly used items presented during the Consultation appointment.  Not all items are used at every consultation.  The goal of the Consultation appointment is to inform the patient or parent/guardian of the information gathered during the Initial Evaluation and Exam, and to explain the Program Guidelines.  


**We reference the patient and parent in our explanations of the Consultation Tools, the same statements apply when reviewing results with an adult patient. 





1. Developmental Hierarchy

         This is typically used during the beginning of the Consultation to demonstrate what was   being observed during the Initial Evaluation.  It is important for the parent to know that we were not just concerned about the scores the patient obtained for the activities.  How the patient went about doing the activities shows us more pertinent information and gives us a better picture of their struggles and compensations.  The explanation of the hierarchy also  helps to explain how motor and cognitive abilities combine to form “vision” and that if there is a roadblock along either of those paths that it will affect the other path therefore affecting vision.  It demonstrates how the patient might adapt or compensate by going back or regressing to a previous developmental stage in order to learn a new skill. This shows the parent that the patient is using less effective skills, as vision should be dominant. 



2. Carolyn's Birthday Surprise Demo 

         This demonstration is used to show parents what words may look like for the patient when reading. It is often also used during the Initial Evaluation (in the Questions and Observations section) when the patient is asked if the words move, jump or get blurry on the page. It is used to confirm with the patient what the words look like when that happens. During the Consultation, it is used as a reminder for the parent and/or used to demonstrate to a parent what may not have been apparent at the initial pretesting but was seen during the initial evaluation with the doctor. 



3. Billy's Puppy Demo 

            This demo is used in the same manner as the previous demonstration but is used for younger children. The printing and pictures are larger, similar to books that younger children read.    



4. Reading Skills Demo 

         The Reading Skills sheet is used to show how inaccurate tracking affects reading.