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Need vision services at your school?

With the partnership of the University of Houston's Optometry Mobile Eye Institute, you are now able to request mobile vision services to come to your school. If your school needs vision services, please download the form below, fill it out and send to the appropiate address listed at the University Eye Institute.

 

Vision van forms - brought to you by the University of  Houston, College of Optometry Mobile Eye Institute.

 

    -School Bus Cover Page

    -Dilation Permission Form 

    -Dilation Permission Form Spanish

    -Parental Permission Form

    -Form for children with Private Insurance

    -Notice of Privacy Practices