Functional Assessment Work Order Form

Please complete the form below to submit a work order to the Kellogg Vision Research Core Functional Assessment Module. When you submit the form, you will receive an email copy of this work order. A member of the Functional Assessment Module team with contact you regarding your request.

Contact Information
Request Type
Request Training
List the type of equipment and/or list the name of the analysis technique you would like to train on.
Request Testing
Click on the desired test(s) below and provide related details. If you have any special requests for a particular test, please fill out the “Comments/Requests” section for that test.
Please provide funding and project details:
Request Equipment