Member Registration

If you are already a member and wish to renew your membership,
please login and then proceed to the Renew Membership page.

Name*
First Last
Email*
Password*
Enter Password Confirm Password
Personal Information
I am a registering as a
Preferred Contact Method

Email, Phone, etc.
Phone*
Fax
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Language
Bio
School
School
Degree
Year Graduated
PVTAP Year
Office
Practice Title
Website Link
Hours
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Who are the PVTAP Therapists Working in Your Office (if applicable)
Employer Name
Personal Email Address (non-school)
Who is your supervising OD
Your supervising OD's contact information
Vouch
Full Membership in Vision Therapy Canada (VTC) 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.
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.
*
- I acknowledge all of the above.
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 VTC 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.
Hidden
Full Member Email

Member Registration

Personal Information

School

Office

Vouch