Agency Registration

VISION USA partners with over 3,400 social service agencies and more than 2,800 AOA member optometrists who donate their services to provide eye exams to low income uninsured U.S. citizens each year. Their efforts have impacted the lives of more than 433,000 individuals by providing eye care that would not otherwise be possible.

VISION USA depends on social service agencies across the country to connect us with those in need. Applications must be submitted electronically with verification from a social service agent that has registered with the program.

To begin submitting VISION USA applications on behalf of clients you’ll need to register by clicking the button below:

Social Service Agent Instructions:

  • Complete the Agency Registration Form in order to receive a hyperlink to the online application form. VISION USA will email you the hyperlink to the online application form within 24-48 hours.
  • Complete a paper APPLICATION FOR VISION USA SERVICES 2017 with your client verifying that they are eligible for services.
  • Use the hyperlink to open the online application form and input the client’s information.
  • Click “Submit Form.”
  • You will receive a confirmation email including an expected application processing date.
  • Once the application is processed, you will receive an email including the name and contact information of a participating VISION USA provider to share with your client. Provide a copy of this email to client within 10 days of receipt.
  • Client to call and schedule their VISION USA appointment within 45 days.

To contact VISION USA, please send an email to


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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