Register New Account

In order to register for a NovaVision account we will require you to provide certain personal information (name, contact information, date of birth and gender), details about your injury and about your disability.

If you would prefer to provide this over the phone to NovaVision Patient Services, please call1.561.558.2000 .

If you are comfortable or prefer to provide this information online, please complete the form below. If at any time you experience difficulty, please call NovaVision Patient Services.

Upon completion of all registration details please click on Complete Registration to submit and complete the registration process.

Review Registration Requirements Return to Home

Title

First Name

Last Name

E-mail Address

Where did you hear about NovaVision?

Gender

Date of Birth (Day, Month, Year)

Phone No

Click here to proceed

Address

Zip/Post Code

City

Country

State

Shipping address is the same as above

Shipping Address

Shipping Zip/Post Code

Shipping City

Shipping Country

Shipping State

Click here to proceed

Please provide as much detail as possible regarding your specific injury and the effect it has had on your vision.

Which side of your vision has been affected?

What was the cause of your injury?

Please provide specific details regarding the cause of your injury

When did this injury occur? (Day, Month, Year)

Please take a moment to tell us what your objectives for the therapy are or share a little but about yourself in the space below

Click here to proceed

Please rate the level of problems you are currently having on the issues listed below:

Activity	Not Applicable	No Difficulty	Occasional Difficulty	Some Difficulty	Often Difficulty	Severe Difficulty
Seeing obstacles
Bumping into obstacles
Losing your way
Finding objects on a table
Finding objects in a room
Finding objects in a supermarket
Crossing the road
Using public transport
Using the computer

Click here to proceed

Please select which of the Vision Restoration and NeuroEyeCoach therapies you would like to start with. The sequencing of the two therapies is entirely a matter of personal preference, there is no recommended sequence.

NeuroEyeCoach (NEC)

NovaVision NeuroEyeCoach is designed to train you to make effective eye movements and become able to better cope with your daily tasks. NeuroEyeCoach can typically be completed in 2–4 weeks with benefit being experienced within this time frame.

Once you complete registration you will need to carry out a short size test to validate you for NeuroEyeCoach.

Therapy Option

Click here to proceed

Please review all completed registration details and once satisifed click the button below to complete your account registration.