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Louisiana Lions Eye FoundationFREE Vision Screening CONSENT & REFERRAL FORM For more information call (504) 5257235PLEASE PRINT CHILD INFORMATION Child's Name: First Last mid-initiate of Birth: /
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01
Obtain the Louisiana Lions Eye Foundation application form.
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Fill out the personal information section, including your full name, address, contact details, and date of birth.
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Provide information about your eye condition or the eye condition of the person you are applying for.
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Include details about your financial situation, such as income, expenses, and insurance coverage.
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Attach any relevant medical records or documentation that support your need for assistance.
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Sign and date the completed application form.
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Submit the filled-out application form and supporting documents to the Louisiana Lions Eye Foundation either by mail or online, as specified in the application instructions.
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Louisiana Lions Eye Foundation is intended for individuals who require assistance with eye-related conditions or treatments.
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The Louisiana Lions Eye Foundation is a non-profit organization dedicated to providing vision care services to those in need.
Donors, individuals, and organizations who support the Louisiana Lions Eye Foundation are required to file.
To fill out the Louisiana Lions Eye Foundation form, individuals and organizations must provide detailed information about their contributions, budget, and activities.
The purpose of the Louisiana Lions Eye Foundation is to ensure that individuals in Louisiana have access to quality vision care services.
Information such as financial contributions, expenses, and program activities must be reported on the Louisiana Lions Eye Foundation form.
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