Our booking coordinator will let you know which of the forms below you need to complete. These forms give us background information to ensure your appointment fits your needs.
We can mail these forms to you, or you can use the links below. If you need help completing the forms, please call us at 519-888-4708.
Patient Information Form (Information required for patients interested in getting a computer or assistive software)
Computer Assessment Form (Information required for patients interested in getting a computer or assistive software)
Classroom Information Form (Additional information for students from kindergarten to Grade 12. This form must be completed by school personnel)
Multi-Function Camera Intake Form (if applicable)
Once you have completed the forms, please return them to us:
- by email to lvclinic@uwaterloo.ca
- by fax to 519-888-4708, or
- by mail to Low Vision Clinic, School of Optometry & Vision Science, University of Waterloo, 200 University Ave. W., Waterloo, ON N2L 3G1
Appointments at the Low Vision Clinic must be made by phone or email.
Please call 519-888-4708 or email lvclinic@uwaterloo.ca.