Member Benefits
Free and discounted materials for POA members
Materials for Order
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Kids Welcome Here poster Created to educate parents and others who provide care to children about the importance of early, regular eye examinations for their children |
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Kids Welcome Here pamphlet Created to educate parents and others who provide care to children about the importance of early, regular eye examinations for their children |
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PA Diabetic Eye Health Alliance posters A free 18" x 24" full-color poster for members of the PDEHA |
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About Diabetes and the PDEHA brochure |
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Rx pads Pennsylvania-compliant spectacle, contact lens, and drug Rx pads |
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Student Excuse forms The POA's convenient Student Excuse form doubles as a doctor's 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. |
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Eye Exam Report form 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. |
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Vision Conservation Institute Memorial Cards 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. |
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Near Point Card for School Nurses 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. |
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| White Pupil/Retinoblastoma flyer | Order |
Materials for Download
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See a Brighter Future flyer Created in 2026, the See a Brighter Future flyer is a great material for those interested in a career in optometry. Hang in your practice and offer yourself as a resource for the curious. |
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Save Your Vision Month coloring poster Every year, in recognition of Save Your Vision Month in March, the POA commissions an artist to create a coloring poster for you to share with your younger patients in your practice or to distribute when you visit elementary schools. It's a fun, creative way to teach kids about the importance of eye examinations. |
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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 the POA |
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Misuse of DEA Number Complaint form | Download |
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Veterans Benefits Improvements poster | Download |












