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AAO Education Request Form

Page One

From time to time, the American Academy of Ophthalmology is able to provide the Basic and Clinical Science Course (BCSC), a complete curriculum in ophthalmology, for free to ophthalmology training programs (residencies) in developing nations. If the training program at your institution would be interested in receiving a BCSC set, provide the information requested below. (Beginning on the second page, you will be able to Save your information and return at a later date.)

Kindly note that due to limited supplies, we are only able to send a new set to a given program every four to five years. Shipments are not guaranteed.  

Email for more information. 
Please provide complete and current contact information.
Is there an ophthalmology residency training program at your institution? *This question is required.