By filling out this form, you are providing valuable information about the current status of your office(s) during the COVID-19 pandemic. The intent is to use the information you provide and display it on the vsp.com Doctor Directory, giving VSP members in need of essential care a better understanding of your current operating hours at this time. Please allow two business days for the update to be made to vsp.com.
Please provide the following details and answers to the questions below. We will only use the phone number and email address provided here to contact you specifically related to your office status and operations during the COVID-19 pandemic.
All fields are required unless noted.
By selecting "Open for Essential and Emergency Service Only" or "Closed", the following message will be displayed on vsp.com: "Open for essential eye care services. Please call to confirm availability."
Provide details for EACH location below, including the current status. Please note that by selecting “Open for Essential and Emergency Service Only” or “Closed”, the following message will be displayed on vsp.com: “Open for essential eye care services. Please call to confirm availability.”
Only 10 locations can be reported on each form. Please submit additional forms as needed.