Low Vision Referral

For doctors and professionals, please submit the online referral form below or download the form and return to Lighthouse Guild by:

Email: TapiaJ@lighthouseguild.org
Fax: 212-769-7825
Mail: Lighthouse Guild, Attn: Jocelyn Tapia, 250 West 64th Street, New York, NY 10023

Download Referral Form

Online Referral Form

Fill out my online form.