PLEASE READ THESE INSTRUCTIONS CAREFULLY
Vision and Hearing assistance is offered to those in finacial need, on a first
come first served basis while funds remain.
Applications may be obtained by downloading the forms from the links below.
Please use only the current application. Using an incorrect application may cause your request to be rejected.
Applicantsmust be residents of Newport, Toledo, Siletz, Eddyville or Depoe Bay, and meet finacial eligiblity criteria set by the Oregon Lions
Sight and Hearing Foundation and the Newport Lions Club.
Please read and carefully fill out the application accurately and completely.
Mail the completed application to this address:
Newport Lions Club
Sight & Hearing
P.O. Box 457
Newport, OR 97365
All the required
financial documentation must accompany the application. Do not include prescriptions or any medical information. Use only
the current application, forms are change regularly. Use only single sided printing and do not staple pages together. Incomplete,
illegible or inaccurate applications may be rejected. Applications with insufficient postage will not be accepted.
Keep
a copy of your application.
Once the application has been reviewed, the applicant will be informed of the Club's decision.
It may take a month or more to process an application. We regret that we can not provide funding for everyone that applies.
The approved applicant will be assigned to a specific provider to obtain their services. Funds are very limited, therefore
only basic services are provided, and will only be provided once. For Eyeglasses there is a $20 dispensing fee and for Hearing
Aids there is a $75 fee for each aid.
For those outside our service area, please call (971) 270-0203
.
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