http://www.aoa.org/visionusa.xml

If you do not qualify for government aid or private health care assistance that covers the cost of routine eye or vision care, VISION USA™ can help. VISION USA™ provides basic eye health and vision care services free of charge to uninsured, low-income people and their families. VISION USA™ was established in 1991 by AOA doctors of optometry who donate their services.

Eligibility Requirements

VISION USA™ is open to children and adults. General eligibility requirements vary by state. To receive free services, you must:

1. Have a job or live in a household where there is one working member
2. Have no vision insurance (this may include Medicare/Medicaid)
3. Have income below an established level based on household size
4. Not have had an eye exam within two years

If you or your family are eligible to receive services, you will be matched with a volunteer doctor of optometry who will provide a comprehensive eye exam at no charge. Eyewear also may be provided at no cost or for a small fee/donation in some states. (Note: Doctors donate their services and may be limited in some areas.)

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This form not to be used for application in Arizona, California,
Colorado, Hawaii, Kansas, Kentucky, Minnesota, Montana, North Dakota,
Wisconsin and Wyoming.
If you prefer to fax or mail your application, click here to download the Vision USA Patient
Application Form PDF. You may make copies if you need to distribute more
forms. The application is also available in Spanish, click here to
download. If you are unable to download the applications, both are
available as Word document files by requesting them from visionusa@aoa.org.

VISION USA provides free eye exams to eligible,
low-income working families. Services are donated by volunteer
optometrists who are members of the American Optometric Association and
may be limited in some areas.

COMPLETE THIS APPLICATION FORM ONLY IF:

1. The person seeking care has no public or private insurance that
   covers eye exams;
   
2. The person has not had an eye exam in the last 2 years;
   
3. The household is low-income and unable to pay for eye exams.
   

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Free vision care usa

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