Low Vision RX Form
CLICK HERE for Prescription Form There are TWO REQUIREMENTS for receiving services from a Lions Low Vision Center: 1. You must have visited your eye care professional within the LAST 30 DAYS 2. You must have your doctor fax a completed PRESCRIPTION FORM to the     Low Vision Center where you will be evaluated. Danbury: 203-730-5905 Fax Southbury: 203-262-4239 Fax Waterbury: 203-709-7764 Fax Naugatuck: 203-720-1793 Fax Greenwich: 203-863-4754 Fax
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RX Form
CLICK HERE for Perscription Form There are TWO REQUIREMENTS for receiving services from a Lions Low Vision Center: 1. You must have visited your eye care professional within the LAST 30 DAYS 2. You must have your doctor fax a completed PRESCRIPTION FORM to the     Low Vision Center where you will be evaluated. Danbury: 203-730-5905 Fax Southbury: 203-262-4239 Fax Waterbury: 203-709-7764 Fax Naugatuck: 203-720-1793 Fax Greenwich: 203-863-4754 Fax
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