Prevent Blindness Texas is a non-profit, public health organization that depends on funding and in-kind donations to ensure success of our vision care programs. Sharing true stories of success with donors keeps our programs operating. Share your Prevent Blindness Texas Success Story with all those individuals who work very hard to make our programs available to you and many other Texans in your community.

If you or your child have participated in the Healthy Eyes Eyeglass Program or Sight for Students Program and would like to share your story, please download and submit the appropriate and completed form listed below to Prevent Blindness Texas. Thank You for your participation!

Healthy Eyes Eyeglass Program Story of Success Forms:
Healthy Eyes Eyeglass Program Story of Success Form-English
Healthy Eyes Eyeglass Program Story of Success Form-Spanish

VSP Mobile Eyes Program Success Story Forms:
Mobile Eyes Program Success Story Form-English
Mobile Eyes Program Success Story Form-Spanish

VSP Sight for Students Program Success Story Forms:
Sight for Students Program Success Story Form-English
Sight for Students Program Success Story FormSpanish

Note:  The forms are available in Adobe Acrobat PDF format. If you don't already have it, you can download the Acrobat Reader for free. If you are having trouble using Acrobat Reader, visit Adobe's Acrobat Support page.