Patient Inquiry | ASCRS
Operation Sight

Operation Sight Patient Inquiry

Patient Inquiry Form

Due to the COVID-19 pandemic, we anticipate a temporary delay in our patient screening process. We appreciate your patience.

Complete this inquiry form to see if you are eligible to become an Operation Sight charitable cataract surgery patient. This is the first of a multi-step process.

After completing the form, an ASCRS Foundation staff member will contact you after reviewing the information submitted via email within 3-5 business days. If your inquiry passes the initial screening, a formal application and paperwork will need to be submitted to proceed in the process.

Surgeon with baby and doughnut

Note: Internet Explorer is NOT a compatible browser while using the print option from this website. Please use Chrome or Firefox when using the print option within the calculator.

We use cookies to measure site performance and improve your experience. By continuing to use this site, you agree to our Privacy Policy and Legal Notice.