Verizon Eye Conservation Program

Use this page to download forms and information.

Some of the forms are in .PDF format, so you will need adobe acrobat to view and print them.
To download the latest version of Acrobat, follow this link  http://www.adobe.com/products/acrobat/readstep2.html

Click here to view/print the People To Contact

Click here to view/print the Base Frames

Click here to view/print the Co-Pay Frames

Click here to view/print the PID-SSI (Plano, Goggles & Accessories) Pages

Click here to view/print the U.S. Safety Verizon RX Form

Click here to view/print the Verizon Provider Panel

Panel Doctor Search by Zip Code


Copyright © 2003 [U.S. SAFETY]. All rights reserved Revised: July 30, 2003.