SCCOS + Healing California Free Vision Clinic
SCCOS Doctors and Associated Opticians and Volunteers,

Thank you for your interest in helping with the joint SCCOS + Healing California Free Vision Clinic

Location: POSSO Portuguese Center
1115 East Santa Clara Street
San Jose, California 95116

Date: April 24-25
8am - 4pm

We will need optometrists able to perform eye exams (all equipment will be provided). We will also need opticians to run edging equipment to make prescription glasses on-site. Other volunteers will be helpful to run check in, help with patient flow, and ensure safety of all. There will be a COVID19 screening check, and all will be required to wear masks.

There will also be a dental van performing exams and extractions.

Please fill out the appropriate responses below based on if you are an optometrist, optician, or other volunteer.
Please feel free to send this form to anyone you know who may be interested in helping out (Other ODs, family, staff, etc)

We appreciate all who are able to help, and are especially looking for those who also speak Spanish, Vietnamese, Portuguese, and/or Chinese.
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Full name *
Phone number (please list a number you will have available during the event in case we need to reach you) *
Please check one: *
OPTOMETRISTS: Please check one or more time slots you are available. We will send a follow-up email to confirm based on everyone's availability.
OPTICIANS: Please check one or more time slots you are available. We will send a follow-up email to confirm based on everyone's availability.
OTHER VOLUNTEER: Please check one or more time slots you are available. We will send a follow-up email to confirm based on everyone's availability.
Please check any language(s) you are conversational/able to perform an exam in:
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