Better Vision. Better Hearing. Better Georgia.

Apply for Services

Please select the type of application you would like from the buttons below:

**NEW: If you have access to the internet, take the appropriate application pre-survey online at the following links. This may speed up the application process.

Vision services pre-survey

Hearing services pre-survey

Eye surgery services pre-survey

Descargar aplicaciónes en español
1. Bajar una aplicación para lentes.
2. Bajar una aplicación para audífonos.

You may submit your application in the following ways:
1. Download the application, print it, fill it out, and mail it along with the documents listed on page one of the application to:
Georgia Lions Lighthouse Foundation
5582 Peachtree Road
Atlanta, GA 30341

2. Download the application, print it, fill it out, and fax it along with the documents listed on page one of the application to:
404-636-5549
For eye surgeries: Attn: Victoria Jordan
For hearing aids: Attn: Sharifa Peart

3. The hearing aids application may also be scanned and uploaded online:
Download the application, fill it out on a computer, and save it. Scan the supporting documents listed on page one of the application and save them. Upload all of the documents using our online applications:
Hearing Aids