Vision Mississippi
Providing No-Cost Eye Exams to Low-Income Uninsured Mississippians
If you need an eye exam, do not have insurance, and cannot afford one: work with your social worker, case worker, charitable organization or agency to submit an application on your behalf for VISION Mississippi services.
Follow the process outlined below to complete an application. You will need to work through a participating health clinic or social services agency.
Applicant Instructions:
To apply for VISION MS services, applicants must work with a social service agency, ie: charitable organization, social worker, case worker, community health agency to review and submit an application.
Social Service Agent Instructions:
Applicants require assistance from a charitable organization, social worker, case worker, community health agency in their community to submit an application on their behalf. Social service agents verify client’s eligibility and then submit an application electronically to VISION MS.
DO NOT MAIL OR FAX APPLICATIONS TO OUR OFFICES.
Applications MUST be submitted electronically by a social service agency or health clinic.
Download a patient application
Download an agency registration form
If you need an eye exam, do not have insurance, and cannot afford one: work with your social worker, case worker, charitable organization or agency to submit an application on your behalf for VISION Mississippi services.
Follow the process outlined below to complete an application. You will need to work through a participating health clinic or social services agency.
Applicant Instructions:
To apply for VISION MS services, applicants must work with a social service agency, ie: charitable organization, social worker, case worker, community health agency to review and submit an application.
- Obtain a paper application and complete the front side.
- Locate a Social Service Agency / Health Clinic – or work with a charitable organization, social worker, case worker, community health agency in your community.
- Contact the social service agency and explain that you are needing their assistance submitting an application for vision care services through VISION MS. Detailed instructions for your social service agent are located on the back of application.
- Work with your social service agent to verify your eligibility and submit application to VISION MS.
Social Service Agent Instructions:
Applicants require assistance from a charitable organization, social worker, case worker, community health agency in their community to submit an application on their behalf. Social service agents verify client’s eligibility and then submit an application electronically to VISION MS.
- Complete an Agency Registration Form.
- Compete an Application for VISION MS Services with your client verifying that they are eligible for services.
- Email the forms to [email protected].
- You will receive a confirmation email including an expected application processing date.
- Once the application is processed, you will receive an email including the name and contact information of a participating VISION MS provider to share with your client. Provide a copy of this email to client within 10 days of receipt.
- Client to call and schedule their VISION MS appointment within 45 days.
DO NOT MAIL OR FAX APPLICATIONS TO OUR OFFICES.
Applications MUST be submitted electronically by a social service agency or health clinic.
Download a patient application
Download an agency registration form