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Alcon Medical Missions Program
Eligibility Questionnaire



This is not an application and is only intended to determine your eligibility to apply for product/equipment donations from Alcon. Completion of this eligibility questionnaire in no way guarantees that you will be eligible to apply for donations or that your application will be accepted.

Does the Medical Mission for which you are requesting product have a US -based 501(c)3 sponsor?

Independent Medical Education Grant Office Contact Information

Alcon Laboratories, Inc.
6201 South Freeway
Fort Worth, Texas 76134 USA
Phone: 800-222-8103

Online Contact Us Form