Seniors who have previously applied for the Alberta Seniors Benefit program or the Dental Assistance for Seniors program are automatically enrolled in this program and only need to provide a  photocopy of a valid optical receipt to be considered for benefits.  This receipt can be mailed to:

Optical Assistance for Seniors Program
Alberta Seniors and Community Supports
PO Box 3100
Edmonton, Alberta T5J 4W3

Please ensure your Personal Health Number and name are clearly shown on the receipt.

Seniors who have not applied to either of these programs will need to complete an Optical Assistance for Seniors application form.

To apply for the Optical Assistance for Seniors program, fill in and mail the application form to the address above. The application form is available (below) in portable document format. If you do not have Adobe Reader to open portable document format files, you can download it for free, or call the Alberta Seniors Information Line at 1-800-642-3853 for an application form to be mailed to you.

• Dental and Optical Assistance for Seniors application
• Dental and Optical Assistance for Seniors application instructions
• Income declaration form
• Dental and Optical Assistance for Seniors information booklet
• Optical Assistance for Seniors brochure