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Anastasia Church Elkton Free Vision Screening & Glasses Event

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Easy Form

Not everyone might qualify for this type of vision screening. Sometimes a comprehensive eye exam is required instead of a screening. If this is the case we have great referrals for you to get a free comprehensive eye exam and/or glasses.

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Please fill in the form below to see if you qualify for the free vision screening

1. Fill in the easy Form below

2. Once we received your request, we will:

  • Verify if you are eligible for this type of vision screening

  • Email your appointment date and time

  • If you don't qualify we will send you contact numbers so you still can get your eye exam/glasses, usually for free.

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Easy Form
Check if you have any of these conditions
Select all eye conditions that apply
When was your last eye exam done?
When was the last time you saw your primairy care physician?
Select all that apply:
Select your age group

Thank you! It typically takes 3 days to process your submission. We will e-mail you and let you know your appointment time. 

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