The documents included in
this section are contained in the packet we send to new referring ODs or other professionals looking for more
information about VT or our clinic. We also add the following printed brochures to the packet: MVTC brochure,
ADD/ADHD, In-Service, Guided Development Program, Eye Turns & Lazy Eyes, & Primitive
Information Packet Introduction Letter
This is a basic letter outlining our referral process to
new referring ODs. It also outlines how we will refer the patient back to them for their primary visual care.
This is a key to acquiring new referrals because they are not concerned about our clinic taking any of their
This form is used when an OD wants to refer a patient to
our clinic. They simply fill out the form as completely as possible and fax/mail it to us with a copy of the
most recent eye exam. We then contact the patient within 2-3 business days of receiving the information. We will
also be in contact with the doctor via mail to keep them updated on the status of the patient.
3. Curriculum Vitae
& Clinic History
This CV document is used to outline Dr. Mowbray's
credentials and why she is an excellent doctor to utilize for the referred patient's behavioral vision
care. The Clinic HIstory
document is a description of the background of our clinic: how and when it was founded, the
credentials of our doctor, and a brief outline of what sets us apart.
5. Weighted Symptom
We invite referring ODs to hand this checklist out
to their patients. This form is highly effective in recognizing a potential problem. It also educates the
patient/parent of the symptoms associated with a functional vision problem.
6. What Sets MVTC Apart
from Other VT Clinics?
7. Maps &
8. Brochure Request
We offer to send out any information referring ODs would
like either for their own knowledge or to hand out to their patients. They just need to mail the post card to us
and we will mail the requested information within 4-5 business days.