Application

VISION USA Application:

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

Social service agent will submit application electronically. VISION USA will review application and if approved, the social service agent will receive an email notification of doctor assignment. It is the agent’s responsibility to provide the doctor information to their client.

DO NOT MAIL OR FAX APPLICATIONS TO OUR OFFICES.  

Applications MUST be submitted electronically by a social service agency. See “Find a Social Service Agency” section to find a social service agent.

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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