Contact Form

If you haven't found what you are looking for on our website, have a question we can help you with, or if you wish to leave a message for one of our board members, please use this contact form. We will forward your question to the proper board member, who will respond to your inquiry as soon as they are able!

Please rest assured that any personal information submitted to us on this form will be used only to contact you in return. We will not sell or otherwise give out any of your personal information.

Vision Assistance Request Form