Neuro-Optic Eye Image Upload

Please utilize this form for uploading eye images for personal neuro-optic assessment or to submit sample images for review in order to request neuro-optic assessment services at your health clinic.

  • Please enter a number from 5 to 100.
  • Please choose if you are right-handed or left-handed or ambidextrous.
  • If you are a healthcare professional, kindly specify your field of practice in the healing arts.
  • Accepted file types: jpg, jpeg, png, gif.
    Sample images are required.
  • Accepted file types: jpg, jpeg, png, gif.
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    Please take a moment to examine our terms of service prior to uploading your eye images for analysis. Rest assured, this form is secure, and only Professor Bryan K. Marcia is authorized to review eye image quality and the approval of eye assessment results. We encourage you to use an anonymous name when registering for assessment. In registration, using your name initials alongside your age (e.g., BG-53) is recommended.