Referring Offices

Kansas City Vision Performance Center works with referring physicians and professionals to provide patients with comprehensive vision rehabilitation and therapy services.

We are grateful to those who take the time to refer for our special area of vision care. If you are a referring physician, your office staff is welcome to call our office at (913) 469-8686 to schedule an appointment when your patient is at your office. We will then follow up with the patient to prepare them to visit our office.

You are also welcome to download a referral form and fax it to our office at (913) 469-8688.

Vision Therapy Referral Form (PDF)

Vision Therapy Classroom Checklist (PDF)
(For school professionals and therapists)

Neuro-Optometry Vision Rehabilitation Referral Form (PDF)

Low Vision Rehabilitation Referral Form (PDF)