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Client Services: Members | Group Administrators | AlwaysVisionContacts | Dental Health Center | Vision Health Center | Refer a Dentist or Eye Doctor     Refer a Dentist or Eye Doctor Click on the Dental Provider Locator or the Vision Provider Locator for a list of participating providers. If your Dentist or Eye Doctor is not listed, refer them for recruitment! Complete the information below, and we will contact your provider and invite them to join our growing network of providers. Are you a medical professional requesting information? *Indicates Required information Provider Information *Type: Select Type Dentist Eye Doctor *Name: Phone: *Specialty: Select a Specialty General Dentistry Endodontics Orthodontics Pedodontics Periodontics Prosthodontics Surgery - Oral and Maxillofacial Ophthalmologist Optician Optometrist Address: *City *State Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Michigan Minnesota Mississippi Missouri Marshall Islands Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Zip: TIN: Provider Email: Member Information Email Address: Patient Name: Employee Name: (if different) Employer Name: Employer's City: Employer's State: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Michigan Minnesota Mississippi Missouri Marshall Islands Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming My name can be used when contacting my provider: Yes No Submit Tools Manage your benefits with AlwaysAssist Find a Dental Provider Find a Vision Provider Contact us Resources Dental Claim Form* Vision Claim Form* Notice of Privacy Practices Grievance Request Forms* * These files are in Adobe PDF format. In order to view these files, you are required to have Adobe Acrobat Reader.