Screening Supply Order Forms

Order Forms for Vision Screening Supplies

Adult Supply Order Form

Preschool and School-Age Supply Order Form

Please submit orders via email, fax, or mail:

Prevent Blindness Wisconsin
731 N. Jackson Street
Suite 405
Milwaukee, WI 53202

Fax: (414)765-0377
Email: [email protected]

For any questions or concerns please contact [email protected] or call 414-765-0505.