Application

VISION USA APPLICATION WORKSHEET IS AVAILABLE FOR DOWNLOAD

Download and print an application worksheet and deliver completed worksheet along with income verification documents to a charitable organization, social worker, case worker, community health agency for eligibility verification and application submission:

All applications will be reviewed. If an applicant is approved, the agency will receive an email notification of doctor assignment on behalf of the client. It is the agency’s responsibility to provide the doctor information to their client. If you are not currently working with a case worker, see “Referral Agencies.”

Application worksheets are also available by sending a self-addressed stamped envelope to:

VISION USA
243 North Lindbergh Blvd.
St. Louis, MO 63141
Phone: 1-800-766-4466 (Automated System)
E-mail: visionusa@aoa.org

DO NOT MAIL OR FAX APPLICATIONS TO OUR OFFICES. ALL APPLICATIONS “MUST” BE SUBMITTED BY REFERRAL AGENCY. SEE “REFERRAL AGENCIES” SECTION TO FIND OR BECOME A REFERRAL AGENCY.

WHY DONATE TO THE AOA FOUNDATION?

Your investment will ensure that The AOA Foundation continues to provide immediate relief to those in need in the wake of natural disasters, vision care to needy Americans, scholarships for optometry students, preservation of optometry’s history and public education about the need for a lifetime of vision care.

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