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  top The Referral Program & Form    
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Please read the following information carefully and then
download the Patient Referral Form at the bottom of this page.

LOW VISION SERVICES (L.O.V.E.) PROGRAM

THE REFERRAL PROCESS

FEES

GROWTH AND FUTURE OF THE L.O.V.E. PROGRAM

FUNDING

Click here to download THE REFERRAL FORM

Fill out all information requested and mail completed form to:

                 Lions Low  Vision Service (L.O.V.E.) Program
                 c/o Don  Chinery
                 11422  Haskell Avenue
                 Granada  Hills, CA  91344