Eyeglasses that have been given to children in our optical clinics can be replaced if they have been lost or broken for up to 2 years after they were first given. A child should contact their who will notify the Department of Education in their area to begin the replacement process. The form below is to be completed and submitted by the DOE representative.

Online Form for Replacement Glasses
*Child's Full Name:
*Child's Age:
*DOE Representative's Full Name:
*School Name:
*Date and Location of Ministry's Clinic:
*How May We Contact the DOE Representative?:	Phone: Email:
Notes:
*Please enter the code below in the box before sending:

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