New Eyes for the Needy Bringing Vision to the US and the World Bringing Vision to the US and the World
Individuals Needing Assistance Optical Dispensers Vision Missions
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Providing Glasses in the US
The Need
Our Voucher Program
How the US Program Is Funded
Who Receives the Glasses?
Who Is Eligible?
How to Apply for Assistance
Sources of Free Eye Exams
How the Program Operates
Participating Agencies
Special Programs & Partnerships
Agency Resources
     Agency Application Form (PDF)
     Voucher Guidelines (PDF)
     Agency Inquiry and Input Form
     Application to Become a Participating Agency
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Providing Glasses Overseas
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Providing Glasses in the US Social Service Agency Inquiry and Input Form
Please fill out the form below to:
  		• Request information about participating optical dispensers in your area
  		• Inquire about the status of a previously submitted application for assistance
  		• Update your agency information
  		• Provide feedback to New Eyes

    A representative from New Eyes will contact you to follow up on your request.

    * indicates a required field
    Agency Name*
    Agency Number (if known)
    Agency Representative*
    Day Telephone #*
    Email Address*
    Requested Information: What are the names of participating optical dispensers in our area?
    What is the status on an application for assistance that our agency submitted on:
    Format: MM/DD/YYYY

    on behalf of:
    Please update your files on this agency to reflect the following changes:
    Comments/Suggestions:





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