Reasons to Refer Patients to a Low Vision Clinic

  • Happy Patients – Early intervention allows your patients to continue doing the things they love
  • Personal Gratification – You are the first step to your patient regaining independence and improving their quality of life
  • Enhanced Patient Care – Referring your patients ensures that they get access to tools that will assist them (only 5% of Low Vision patients currently visit a Low Vision clinic)
  • Hundreds of Magnification Solutions are Available – Low Vision clinics carry a wide assortment of devices which ensures your patients get the products they need to help with the specific tasks important to them
  • It’s Quick and Easy – Fill out our Patient Referral Form and send it to us for follow-up.

Patient Referral Form


If you are an eye care professional (optician, optometrist, ophthalmologist), please use this PDF form to refer your patient for Low Vision care.

Please Click HERE to download the PDF form, fill it out, and e-mail to or submit via fax to 613-228-8635.

Eye Conditions


Hand Held Devices
Hands Free Systems
Telescopes & Binoculars
Video Magnifiers
Non-optical Aids