If you or someone you know needs an eye exam, glasses, hearing exam, hearing aids, or other sight/hearing related help and does not have adequate insurance coverage, please fill out the referral form below.
PLEASE NOTE: THIS IS NOT AN APPLICATION!
THIS IS A REFERRAL ONLY.
Getting help will depend on your household income, access to insurance and available funds from your local Lions Club. If your Lions Club has funding available, they will send you an application, and/or tell you where to pick-up an application. Each club makes its own decisions and may refuse service if someone is disrespectful.
Referrals are reviewed a few times a week, so please be patient.
