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Children's Vision Care Voucher ApplicationOFFICE USE ONLY
3/22
Date: ___ Staff: ___
Approved Denied
HE S4S MEMOPlease Return to: Prevent Blindness Wisconsin 731 N. Jackson Street Suite 405 Milwaukee,
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How to fill out childrens vision care voucher
How to fill out childrens vision care voucher
01
Obtain a children's vision care voucher from a participating provider or agency.
02
Fill in the required information about the child, such as name, date of birth, and address.
03
Provide information about the vision care services needed and the provider that will be used.
04
Submit the completed voucher to the appropriate agency or provider for processing.
Who needs childrens vision care voucher?
01
Children who require vision care services and do not have the means to afford them on their own.
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What is childrens vision care voucher?
Childrens vision care voucher is a form of financial assistance designed to help cover the cost of vision care services for children.
Who is required to file childrens vision care voucher?
Parents or legal guardians of children who are in need of vision care services are required to file childrens vision care voucher.
How to fill out childrens vision care voucher?
Childrens vision care voucher can be filled out by providing the necessary information about the child receiving the services, the type of services needed, and any relevant financial information.
What is the purpose of childrens vision care voucher?
The purpose of childrens vision care voucher is to ensure that children have access to necessary vision care services, regardless of their family's financial situation.
What information must be reported on childrens vision care voucher?
The information reported on childrens vision care voucher typically includes the child's name, age, type of vision care services needed, and any relevant financial information.
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