Vision Care Financial Assistance Programs

Children’s Vision Voucher Application and Criteria

Children’s Vision Care Voucher Programs

Voucher Application Update

As of 6/20/2024 VSP has notified our organization that they have paused the VSP Eyes of Hope Voucher Program and we will not be accepting new requests for applications. Previously approved individuals will be able to redeem their vouchers for an eye exam and glasses.

Please contact our staff with any questions or concerns: (414)-765-0505.

We are sorry for the impact this will have on the Wisconsinites we serve. As soon as we are notified that the applications are open, the online form will be reopened.

This pause does not affect the OneSight OnSight Voucher Program. If you would like to email, mail, or fax in an application it can be downloaded below.

To email this application please email N[email protected] or fax (414)-765-0377.

English Criteria Documents:

2026 Adult and Children Vision Care Voucher Program Criteria

Translated Criteria Documents:

Children’s Voucher Criteria-Spanish Translation

Children’s Voucher Criteria-Hmong Translation

 

Children’s Vision Voucher Application

If you think you meet the voucher criteria above, please complete the following application.

Children's Vision Voucher Application

Applicant Information:



















*If your child has BadgerCare and needs an eye exam call 1-800-362-3002. 
I attest that the above information is true to the best of my knowledge. I understand that if I provide incomplete or incorrect information I may be required to pay for the vision care services my child receives and my child may be declined service.
To be completed by school/agency staff if applying through an school/agency. 


Contact Information

To submit a paper version, print the document, fill out the form and either mail it to our office: 731 N Jackson St, Suite 405, Milwaukee, WI 53202 or email it to [email protected].

If you have any questions please email, [email protected].

Translated Applications:

Children’s Voucher Application-Spanish

Children’s Voucher Application-Hmong

If your child is on BadgerCare they can receive an eye exam and glasses annually. Please call the number on the back of your child’s health care card to find a vision care provider or you can look up your child’s HMO contact number in the link below.

Medicaid HMO Advocates Contact Information