SERVICES

The Georgia Lions Lighthouse Foundation connects Georgians in need
with vision services.

Service Application

Payments

Eyeglass Recycling

SERVICE APPLICATION

EYE EXAMS & GLASSES

VISION SURGERIES

VSP EYES of HOPE™

Georgia Lions Lighthouse Foundation provides the full continuum of vision services, offering vision screenings, complete eye exams, prescription eye glasses to surgery.

Vision services are provided statewide through our two local metro Atlanta Clinics, our mobile clinics and virtually via our new tele-optometry program.

Our mission is to serve Georgians who need us most. Please review the requirements and supporting documents below, and if you qualify, patients can apply for services either online or by printing, completing, and mailing an application.

Chamblee Clinic Hours:

Chamblee Clinic Glasses only Walk-in Hours:

Tuesday, Wednesday, Thursday 10am-1pm or from 2pm-3:30pm.

We are closed from 1pm-2pm for lunch and on Monday and Friday. Please bring your glasses prescription and your ID, no appointment needed.

5582 Peachtree Rd, Chamblee GA 30341

Paper Application in English
Paper Application in Spanish

Vision Services Application (Online)

The Georgia Lions Lighthouse Foundation works with a network of ophthalmologists to provide patients with optical surgery when needed.

We provide surgery assistance for:

Cataracts
Glaucoma
Diabetes-related vision loss

Our mission is to serve Georgians who need us most. Please review the requirements and supporting documentation below and if you qualify, patients can apply for services either online or by printing, completing, and mailing an application.

Requirements for Services include:

Resident of Georgia for at least one year
Do not have insurance or other way to pay for surgery
Meet the financial guidelines

IDENTIFICATION

IDENTIFICATION (PROVIDE ONE)
Valid driver’s license, State photo ID, Valid passport, Valid school picture ID, Consulate card, or Permanent Resident Alien card

PROOF OF RESIDENCY

PROOF OF RESIDENCY (PROVIDE ONE)
A Current copy of lease agreement, a current copy of mortgage statement, a utility bill from the last 3 months, a letter from a shelter or residence facility, or letter from nursing home.

PROOF OF GROSS INCOME

PROOF OF GROSS INCOME (PROVIDE TWO)
Last 3 months of bank statements, Last year’s tax return, Social Security/Disability award letter, 4506-T Form (non-filing), proof of College or University scholarship, grant, fellowship, or assistantship, 2 current consecutive paycheck stubs, or proof of regular payments of alimony, child support, unemployment, union funds, retirement or other government program

ADDITIONAL DOCUMENTS

ADDITIONAL DOCUMENTS (PROVIDE ALL)
An eye doctor’s most recent exam notes indicating need for surgery and documentation from within the last 3 months verifying current Medicaid/Medicare denial

Understand?

I Understand Qualifications
I have printed and/or made physical copies of ALL required documentation for each member of my household. I understand that my application will NOT be processed until all required documents have been submitted.

The VSP Vision™ Eyes of Hope® gift certificate program operates nationally to provide access to eye care for adults and school-age children in need. VSP® Eyes of Hope gift certificates cover a comprehensive eye exam and, if prescribed, new glasses at a VSP network doctor’s office.

Georgia Lions Lighthouse Foundation is proud to partner with local Lions Clubs around the state to provide adults and children, who qualify, with a certificate voucher to receive essential vision care at no cost to the patient.

For more information on how to receive VSP Eyes of Hope Vouchers, contact Kaelin Hill at khill@lionslighthouse.org or 770-738-4659.