Fill out the form below or just email Dr.Boles and we will contact you for more information.
samboles@gmail.com
Yes, I am an opthalmologist or optometrist and would like to volunteer to perform free screenings in The Eyes Have It Program...Baltimore's Visionary Fight Against Glaucoma Sessions are usually three hours in duration and are held at one of the four facilities shown below on a rotating basis. Other screenings are held at health fairs around Baltimore. Kreiger Eye Institute at Sinai Hospital Good Samaritan Hospital Bon Secours Hospital Harbor Hospital View 2009 Schedule Required fields are in bold text.
First Name :
Last Name :
Practice Name :
Office Address :
Office Phone :
Cell Phone :
Email Address :
I am a licensed	Maryland Opthalmologist    Maryland Optometrist
I am best able to volunteer on the following days (check all that apply and specify AM, PM or both)
Monday	AM        PM
Tuesday	AM        PM
Wednesday	AM        PM
Thursday	AM        PM
Friday	AM        PM
Saturday	AM        PM
Sunday	AM        PM
I have portable tonometry equipment that I can bring to the glaucoma screening:
	Yes        No
Comments/Questions:
If you have questions, please contact Dr.Sam Boles @410-409-9029