POA Member Resources

The POA has designed pamphlets specific to optometry in Pennsylvania. There is no charge to members for these pamphlets. To order, email the POA office or call (717) 233-6455. Click the links below to preview the materials.

Click here for additional information about Kids Welcome Here.

Show your patients you care with Memorial Cards from Pennsylvania's Vision Conservation Institute (VCI). All bequests are used to support vision education and research. Your memorial card packet includes 10 ivory memorial cards, 10 matching envelopes, and 10 white, pre-addressed post cards. $40.00 per packet for members. $60.00 per packet for non-members.

The Veterans Benefits Improvement Act of 2004, was signed into law by the President Bush on December 10, 2004. Among its provisions is a requirement that employers post notice of basic USERRA rights and duties in their places of employment. Download a PDF file of the required poster to print and post along with all your other employment posters.

The POA office often gets calls asking for assistance from doctors when they are unable to get paid by a third party carrier. Sometimes, the information provided is incomplete and POA is less able to help than we would like. Therefore, we have developed this Third Party Payer Issue Reporting Form for those instances when members are unable to resolve payment issues on their own and are requesting help from POA.

AOA has developed a form for doctors to use to report evidence of insurance companies and pharmacies inappropriately requiring DEA numbers to fill prescriptions for non-controlled substances. Please use this Misuse of DEA Number Complaint Form to report evidence of DEA number misuse to POA, and we will compile the information and provide it to AOA.

The POA has been in recent communications with the leadership of the Pennsylvania Academy of Ophthalmology to identify areas of agreement in which the two organizations can work together. Low vision is one of these areas, as low vision rehabilitation is the standard of care recommended by the American Academy of Ophthalmology, which says that ophthalmologists should refer for vision rehabilitation for patients with vision loss.

The Pennsylvania Academy of Ophthalmology has asked the POA to identify optometrists in the state who have a serious emphasis in low vision. If you want to be included in this exciting opportunity to collaborate with ophthalmology, please complete the form to the right and email to Kelsey@poaeyes.org.

Online Form

The Pennsylvania Optometric Association has been in recent communications with the leadership of the Pennsylvania Academy of Ophthalmology to identify areas of agreement in which the two organizations can work together. Easier access to refer patients to optometrists skilled in fitting scleral contact lenses is one of these areas.

Therefore, the Pennsylvania Academy of Ophthalmology has asked us to identify optometrists in the state who have a serious emphasis in fitting scleral contact lenses. If you want to be included in this exciting opportunity to collaborate with ophthalmology, please complete the following form and email it to Kelsey@poaeyes.org or fax to 717-233-6833.

Online Form

Committee members who have been approved to submit a POA Expense Voucher can use this Excel spreadsheet. Save the form to your computer, fill it out, save it, and then email it to your staff liaison or Ilene@poaeyes.org. The form can also be printed out and faxed (717-233-6833) or mailed to POA.

Purchase your Pennsylvania-compliant spectacle, contact lens, and drug Rx pads through POA.

NCR duplicate paper and anti-forgery tamper-resistant pads (required for Medicaid prescriptions) are also available.

Purchase CMS 1500 forms from Owen Business Systems by calling (800) 634-1876.

Use POA's Eye Examination Report to report exam results to schools, employers or other health care providers. Actual form size is 5 1/2" x 8 1/2". Cost is $8.25 per pad of 100, plus shipping.

POA's convenient Student Excuse Form doubles as a doctor excuse and a signed parent note. Actual size is 6 1/8" x 5 5/8". Cost is $8.25 per pad of 100, plus shipping.

Show your patients you care with Memorial Cards from Pennsylvania's Vision Conservation Institute (VCI). All bequests are used to support vision education and research. Your memorial card packet includes 10 ivory memorial cards, 10 matching envelopes, and 10 white, pre-addressed post cards. $40.00 per packet for members. $60.00 per packet for non-members.

Since the late '90s, the POA has been working to educate the public on the importance of children’s vision, and attempting to bring about legislation to support efforts to provide eye examinations for children at various benchmarks of their lives. As we all know, vision screenings do a poor job of identifying near vision problems such as latent hyperopia and accommodative disorders. With near vision in mind, the POA created a near point card for nurses to help them identify near point issues in their screening population.

Here is where we need your help. Please set up a time with your local school nurses at one of their in-service days to give them each a card and educate them on its use. It’s especially important with our pursuit of proposed children’s vision legislation. We need to educate before we legislate, and our children’s education truly depends on the quality of their respective vision. Request near point cards at the link to the right.

Request near point cards