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Hours & Locations
About Us
Vision Therapy
Reflex Integration
- Retained Primitive Reflexes
- Primitive Reflexes Podcast
More
Store

Home » Hours & Locations » Online Forms » REFLEX INTERGRATION: Program Review

REFLEX INTERGRATION: Program Review

Name: The Vision Development Team
Address: 25101 Detroit Rd, Ste 450, Westlake, OH, 44145, US
Telephone: 440-230-0923
Price range: $000 - $300

Patient’s Name:

First Last

Date

MM slash DD slash YYYY

1. How often are your prescribed exercises practiced?

2. Are you using a supplementary auditory processing program at home?

3. Describe any difficulties in carrying out the exercises

4. Check any areas showing signs of improvement

Sitting Still

Interest in exercises/training

Confidence

Waiting quietly/patiently

Understand directions

Sports/Athletics

Reading without losing place

Balance

Telling time

Comprehension

Eye control/convergence

Knowing right from left

Spelling

Eye teaming

Coordination

Math/ computations

Writing

Attention

Toileting

Interest in school/work

Muscle tone

Speech/ language

Decreasing reversals

Alertness/energy level

Listening

Decreased irritability

Social skills

Sleeping

Motivation

5. Other areas of improvement:

6. List topics you would like to discuss:

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North Royalton

10500 Royalton Rd, Suite A
North Royalton, OH 44133

Monday: 10:00 AM - 7:00 PM
Tuesday: 9:00 AM - 7:00 PM
Wednesday: 9:00 AM - 7:00 PM
Thursday: 11:00 AM - 7:00 PM
Friday: 9:00 AM - 5:00 PM
Saturday: Closed
Sunday: Closed

Beachwood

3601 Green Rd, Suite 316
Beachwood, OH 44122

Monday: 11:00 AM - 7:00 PM
Tuesday: 11:00 AM - 7:00 PM
Wednesday: 9:00 AM - 7:00 PM
Thursday: 10:00 AM - 7:00 PM
Friday: 11:00 AM - 7:00 PM
Saturday: Closed
Sunday: Closed

Westlake

25101 Detroit Rd, Ste 450
Westlake, OH 44145

Monday: 2:00 PM - 7:00 PM
Tuesday: Closed
Wednesday: 2:00 PM - 7:00 PM
Thursday: Closed
Friday: 11:00 AM - 7:00 PM
Saturday: Closed
Sunday: Closed

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Careers
Referring Providers
Refer a Provider
Contact Us
What’s New
Career Opportunities
Disclaimer
Privacy Policy

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The Vision Development Team
25101 Detroit Rd, Ste 450
Westlake, OH 44145
Phone: 440-230-0923
https://www.sensoryfocus.com

The Vision Development Team
10500 Royalton Rd, Suite A
North Royalton, OH 44133
Phone: 440-230-0923
https://www.sensoryfocus.com

The Vision Development Team
3601 Green Rd, Suite 316
Beachwood, OH 44122
Phone: 440-230-0923
https://www.sensoryfocus.com

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