Grievances for California Residents
If you have a grievance, please use the electronic form, and the appropriate staff member will contact you in a timely manner.
File an Electronic Grievance Form
Complete the online Grievances Form.
Fax or Mail Printable Grievance Form
Print a copy to mail or fax to us.
English Printable Grievance Form
Spanish Printable Grievance Form
America's Best Vision Plan
c/o FirstSight Vision Services, Inc.
1202 Monte Vista, Ave., Suite #17
Upland, CA 91786
Fax # (866) 698-7773