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
Our Vision
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
     Individual Inquiry Form
Sources of Free Eye Exams
How the Program Operates
Participating Agencies
Special Programs & Partnerships
Agency Resources
Participating Dispensers
Optical Dispenser Resources
Program Updates
Providing Glasses Overseas
Impact: How You Can Help
People: Partners & Supporters
News
Contact Us
Providing Glasses in the US Individual Inquiry Form
Please fill out the form below to:
  • Request information about social service agencies in your area,
  • Request information about participating optical dispensers in your area
  • Inquire about the status of a previously submitted application for assistance.

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

    * indicates a required field
    Name*
    Day Telephone #*
    Email Address*
    Street Address*
    City*
    State*
    Zip Code*
    Please:  
    Tell me about social service agencies in my area
    Tell me about optical dispensers in my area
    Tell me about the status of my application for assistance . I submitted the application on:
      Format: MM/DD/YYYY





     
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