REQUEST A VSP® EYES OF HOPE® MOBILE CLINIC

IMPORTANT: For the health and safety of our employees and the communities we serve, the VSP Eyes of Hope mobile clinics are paused due to the pandemic. Requests for new events will be evaluated based on availability once the program restarts. If you’re interested in alternative support in the interim, or have any questions, please reach out to our team at mobileclinic@vsp.com.

Sincerely,
The VSP Eyes of Hope Team

* Indicates required field

 
*
 
 
 
 
*
 
 
 
 
*
 
 
 
 
*
 
 
 
 
 
 
*
 
 
 
 
*
 
 
 
 
*
 
 
 
 
*
 
 
 
 
*
 
 
 
 
 
*
 
 
 
 
*
 
 
 
 
 
 
 
 
 
 
 
 
*
 
 

A brief description of your event: Who will be helped, event details and event purpose, any additional organizations participating.

 
 
*
 
 
 
 
*
 
 
 
*
 
 
 
 
*
 
 
 
 
*
 
 
 
*
 
 
 
 
 
 
*
 
 
 
 
*
 
 
 
 
*
 
 
 
 
*
 
 
 
 
*
 
 
 
 
*
 
 

Note that the event location must be able to accommodate a mobile clinic with the following specifications:

Length: 45'
Height: 13'6"
Width: 12' (parked); 8'6" (traveling)
Weight: 46,000 lbs