Full Membership – Optometrist Selection

Full Membership in COVT&R means you are offering your patients, complete full-scope, one on one, in-office VT. Stand-alone and/or home-assigned VT related, including computer activities do not qualify.

Name*
First Last
Email*

Important: Please use the email address you plan to assign to your membership.
Please select from the list below, a VTC Full member colleague who can vouch for you.*
*
- I acknowledge that I offer complete in-office Vision Therapy and Rehabilitation.
*
- I acknowledge that I offer home-based only as adjunct treatment and not as stand-alone therapy.
*
- I acknowledge that I may be subject to random audit to ensure my compliance with the above statements.
*
- I acknowledge that applicants/members/vouching members found to be fraudulent will have their membership revoked.
*
- I acknowledge that the membership fee is non-refundable.
If you feel unable to check the above statements but still believe that you are eligible for full membership and/or you don't know a current full member to vouch for you, please email COVT&R at canovtr@gmail.com for consideration. An administration fee of $75 applies. Alternatively, you can apply for Partial Membership application where a vouch is not required and the criteria for membership are different.
Optometrist Email
Email
This field is for validation purposes and should be left unchanged.

Remember to check your email. You will be notified when your vouch is completed.