Apply to access Johnson and Johnson Vision Product for your Medical Mission Trip
The medical product you are applying to access on this page has been donated by J&J Vision, a Johnson and Johnson MedTech company, to MAP International. MAP International is a global health nonprofit dedicated to bringing lifesaving medicine to people in need around the world.
Throughout the application and ordering process, if you have any questions or concerns, you can reach the MAP International Medical Missions team by calling 1-912-280-6627 or sending an email to orders@map.org
Steps to apply for and order J&J Vision product:
1. Fill out and submit the MAP Eligibility Form.
The MAP eligibility form is a required document used to verify that your medical mission trip qualifies for receiving MAP product. This form includes questions about yourself, your organization, and your planned medical mission trip.
2. Fill out and submit the MAP Practitioner’s Agreement.
The MAP Practitioner’s Agreement is a required document used to verify that you are qualified to order and receive Rx product.
If you are ordering medical or surgical products, the Practitioner’s agreement must be signed by a licensed Physician or a Nurse Practitioner.
If you practice medicine outside of the United States, MAP will require additional documents to evaluate your medical credentials. Once you have submitted your Practitioner’s agreement, MAP will contact you for additional documents to verify your non-USA license and credentials.
3. Review and select from our available inventory of J&J vision product
Once your Eligibility Form and Practitioner’s Agreement have been completed, please review our available inventory of J&J Vision medicine and health supplies and select the product you would like to take on your medical mission trip. To complete this form, you must download or print the form below. Then you can send back by scanning or emailing to orders@map.org.
4. Wait for your Eligibility Form, Practitioner’s Agreement and J&J Vision order to be reviewed.
Once the MAP Medical Missions Team has received ALL THREE required documents – Eligibility Form, Practitioner’s Agreement and your J&J Vision order, your order will be reviewed for approval.
5. Once your application has been reviewed for approval, you will be contacted with the next steps.
The MAP Medical Missions team will contact you with any questions about your application. Once approved, they will share with you the next steps in processing your order.
If you have any questions during the application or approval process of your order, please contact the MAP Medical Missions team
Call us:
Send us an email:
Mailing address:
1-912-280-6627
orders@map.org
4700 Glynco Parkway
Brunswick, GA 31525
